Kaitlin Naatjes

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180012281 Issued in IL

Practice address

2711 W Warren Blvd
Chicago, IL 60612-2027

Phone

(505) 315-8953

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8127/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bella Valore, LLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1619512175
  NPD Authorized official
• Omaha Integrative Care, LLC

  • Clinical Social Worker
  • Omaha, NE
  • NPI 1023302247
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1770030306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 W WARREN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122027",
            "telephone_number": "505-315-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 W WARREN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122027",
            "telephone_number": "505-315-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAATJES",
        "first_name": "KAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "10967",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180012281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "180012281",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "Y",
            "affiliationName": "Bella Valore, LLC",
            "address_1": "2711 W Warren Blvd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606122027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• N.M.M. Dental, LTD
• N.T. Surgical, PLLC
• N'Phases LLC
• Chong NA, MD
• Kathryn Naab, D.P.T.
• Nabati Behavioral Health PLLC
• Shadan Nabili, LCPC
• Michael J Nabolotny, MD
• Omar Nabulsi
• Vaishnavi Nachiappan Sundaram, MD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.