Organization Active NPI

Kooth USA LLC

  • Counselor
  • Chicago, IL
National Provider Identifier
1902663446
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KOOTH USA LLC
Practice address
167 N Green St FL 4
Chicago, IL 60607-2377
Phone
(570) 209-8416
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Daniel Romo
Title
Financial Controller
Phone
(570) 209-8416

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

167 N Green St FL 4
Chicago, IL 60607-2377

Mailing address

167 N Green St FL 4
Chicago, IL 60607-2377
Phone (570) 209-8416

National Provider Directory

National Provider Directory

Locations

167 N Green St
Fl 4
Chicago, IL 60607
Phone (570) 209-8416

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1902663446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 N GREEN ST FL 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072377",
            "telephone_number": "570-209-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 N GREEN ST FL 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072377",
            "telephone_number": "570-209-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOTH USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "ROMO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "570-209-8416"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.