Organization Active NPI

Klutch & Well LLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1932724564
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KLUTCH & WELL LLC
Practice address
1132 S Wabash Ave Ste 206
Chicago, IL 60605-2326
Phone
(773) 413-0848
NPI assigned
Jun 9, 2020
Last updated
Jun 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Andrea Stiles, LCPC, NCC, PHD(C)NPI 1538607627
Title
Psychotherapist & Owner
Phone
(773) 413-0848

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

1132 S Wabash Ave Ste 206
Chicago, IL 60605-2326

Mailing address

1132 S Wabash Ave Ste 206
Chicago, IL 60605-2326
Phone (773) 413-0848

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1932724564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 S WABASH AVE STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052326",
            "telephone_number": "773-413-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 S WABASH AVE STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052326",
            "telephone_number": "773-413-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLUTCH & WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST & OWNER",
        "authorized_official_telephone_number": "773-413-0848",
        "authorized_official_credential": "LCPC, NCC, PHD(C)"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "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 Jun 9, 2020; 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.