Individual provider Active NPI

Kyla Kachman, LCSW

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1891232328
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018359 Issued in IL
Practice address
909 Davis St Ste 160
Evanston, IL 60201-3664
Phone
(847) 425-6400
Fax
(847) 425-6408
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149018359 IL Primary

Addresses

Primary practice location

909 Davis St Ste 160
Evanston, IL 60201-3664

Mailing address

909 Davis St Ste 160
Evanston, IL 60201-3664
Phone (847) 425-6400

Other practice location 1

2650 Ridge Ave
G-155
Evanston, IL 60201-1718
Phone (847) 570-2203

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkachman258757@direct.northshore.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171108003545 IL Practitioner - Clinical Social Worker 7113283086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Chicago, Pritzker School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rodney J. Benson, PHD and Associates, LLCGroup PAC ID 1052435419, 8 clinicians

Practice addresses (Care Compare)

3047 N Lincoln Ave
Unit 400
Chicago, IL 60657-4274
Phone (773) 494-5055

3166 N Lincoln Ave
Suite 402
Chicago, IL 60657-3152
Phone (773) 482-3258

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Psychotherapy PLLC Current Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 19, 2018 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 19, 2018 Accepting new patients
Rodney J. Benson, PHD & Associates, LLC CurrentSince Dec 1, 2023 Accepting new patients
Endeavor Health Clinical Operations PastSince Apr 6, 2021 Accepting new patients

Locations

3047 N Lincoln Ave
Unit 400
Chicago, IL 60657
Phone (773) 494-5055

3047 N Lincoln Ave
Chicago, IL 60657
Phone (773) 494-5505

3166 N Lincoln Ave
Ste 402
Chicago, IL 60657
Phone (872) 221-8875

9532 Eagle Way
Chicago, IL 60678

909 Davis St
Ste 160
Evanston, IL 60201
Phone (847) 425-6425

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#G155
Evanston, IL 60201
Phone (847) 570-2203

Interoperability endpoints

  • Direct secure messaging: kkachman258757@direct.northshore.org

Organizations & group practices 5

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1891232328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 DAVIS ST STE 160",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013664",
            "telephone_number": "847-425-6400",
            "fax_number": "847-425-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 DAVIS ST STE 160",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013664",
            "telephone_number": "847-425-6400",
            "fax_number": "847-425-6408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Ridge Ave",
            "address_2": "G-155",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602011718",
            "country_code": "US",
            "telephone_number": "847-570-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACHMAN",
        "first_name": "KYLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkachman258757@direct.northshore.org",
            "affiliation": "N",
            "address_1": "909 Davis St Ste 160",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602013664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.