Individual provider Active NPI

Kevin Allen Newhall, LCSW

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1831556687
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149.018631 Issued in IL
Practice address
515 N Noble St Apt 105
Chicago, IL 60642-7400
Phone
(773) 909-9096
NPI assigned
Jan 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.015028 IL
Mental Health Counselor 101YM0800X 149.018631 IL Primary

Addresses

Primary practice location

515 N Noble St Apt 105
Chicago, IL 60642-7400

Mailing address

515 N Noble St Apt 105
Chicago, IL 60642-7400
Phone (773) 909-9096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 21, 2022 through Mar 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.018631ILMDMental Health Counselor
150.015028ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rincon Family Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1831556687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N NOBLE ST APT 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427400",
            "telephone_number": "773-909-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N NOBLE ST APT 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427400",
            "telephone_number": "773-909-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWHALL",
        "first_name": "KEVIN",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.015028",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.018631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.