Mikayla Danielle Kendal, LCP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178012859 Issued in IL

Practice address

2211B Lakeside Dr
Bannockburn, IL 60015-1265

Phone

(847) 217-9381

NPI assigned

Sep 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1932759503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 CHAPPEL CT APT 203",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601394806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211B LAKESIDE DR",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151265",
            "telephone_number": "847-217-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDAL",
        "first_name": "MIKAYLA",
        "middle_name": "DANIELLE",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR",
            "identifier": "178012859",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mikaylaevitts@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2211B Lakeside Dr",
            "city": "Bannockburn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600151265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Howard Michael Katz, M.D.
• Ronit Katznelson, M.D.
• Joshua Michael Kay
• Johnathan Kellogg
• Jaclyn Kristen Kelly, ATC
• Kathryn Kennedy
• Ali Amin Khan, M.D.
• Spozmai Khan, PA-C
• Uswa Khan, MA
• Aleks Kico

• Professional Counselor in Bannockburn, IL
• Providers in Bannockburn, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.