NPIMap

Organization Active NPI

Kre Behavioral Health Services LLC

  • Professional Counselor
  • Homewood, IL
National Provider Identifier
1861923567
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008868 Issued in IL
Legal business name
KRE BEHAVIORAL HEALTH SERVICES LLC
Practice address
930 175TH St
Homewood, IL 60430-2039
Phone
(773) 530-4077
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Dr. Kecia Evans, EDD, LCPC, CADCNPI 1568868768
Title
Owner
Phone
(773) 530-4077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180008868 IL Primary

Addresses

Primary practice location

930 175TH St
Homewood, IL 60430-2039

Mailing address

8114 S Kenwood Ave
Chicago, IL 60619-3415
Phone (773) 531-4288

National Provider Directory

National Provider Directory

Locations

930 175th St
Homewood, IL 60430
Phone (708) 831-3943

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1861923567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 S KENWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193415",
            "telephone_number": "773-531-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 175TH ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302039",
            "telephone_number": "773-530-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-530-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.