Eleni Isabel Kaitson, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150104780 Issued in IL

Practice address

201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385

Phone

(217) 722-9079

Fax

(217) 501-4322

NPI assigned

Mar 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eleni.kaitson.1@25899.direct.athenahealth.com

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.

• Rockford Psychiatric Medical Services, S.C.

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1821391442
  Medicare reassignment Care Compare group NPD
• McNicholl Counseling, P.C.

  • Clinical Social Worker
  • Champaign, IL
  • NPI 1669774535
  NPD
• Sage Counseling Collective

  • Counselor
  • Chicago, IL
  • NPI 1932725793
  NPD (past)

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648339200000",
    "number": "1851041354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W SPRINGFIELD AVE STE 1201",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206385",
            "telephone_number": "217-722-9079",
            "fax_number": "217-501-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W SPRINGFIELD AVE STE 1201",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206385",
            "telephone_number": "217-722-9079",
            "fax_number": "217-501-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 Commercial Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Mahomet",
            "state": "IL",
            "postal_code": "618538538",
            "country_code": "US",
            "telephone_number": "217-722-9079",
            "fax_number": "217-501-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAITSON",
        "first_name": "ELENI",
        "middle_name": "ISABEL",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-27",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150104780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jae Ung Jung
• Aleya Justison, CD(DONA)
• Rebecca Lynn Kaefring
• Surinderpal Singh Kahlon, M.D.
• Elizabeth Kaiser
• Josephine F Kalipeni
• Hannah Kammert
• Max Kamowski
• Lauren Kampwirth, LCSW
• Deanna Kane, NP

• Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.