KJ Wellness, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180009315 Issued in IL

Legal business name

KJ WELLNESS, INC

Practice address

1655 N Arlington Heights Rd
Suite 202E
Arlington Heights, IL 60004-3982

Phone

(847) 601-4642

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen M Leahy, LCPC

Title

President

Phone

(847) 601-4642

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1922453661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262",
            "city": "MEDINAH",
            "state": "IL",
            "postal_code": "601570262",
            "telephone_number": "847-601-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 202E",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043982",
            "telephone_number": "847-601-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJ WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-601-4642",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn King, PA-C
• Michael R Kinney, M.D.
• Jennifer Irene Kirchens, D.P.M.
• Joan Marie Kircher, CRNA
• Brian Kitz
• John T. Klasen, JOHN KLASEN
• Lisa Marie Klasen, COTA
• Jennifer H Klein, DPT
• Karin Klein, OT
• Michaela Simcha Klein, D.O.

• Professional Counselor in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.