Katarzyna Pukszta, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178016129 Issued in IL

Practice address

500 W Central Rd Ste 200
Mt Prospect, IL 60056-2381

Phone

(708) 789-5669

NPI assigned

Aug 10, 2020

Last updated

Aug 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1942811427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 W CUYLER AVE APT 2B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411708",
            "telephone_number": "847-323-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD STE 200",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562381",
            "telephone_number": "708-789-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUKSZTA",
        "first_name": "KATARZYNA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178016129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Home Health, Inc.
• Prime Healthcare Home Care and Hospice, LLC
• Prime Healthcare Hospice and Palliative Care LLC
• Primus Home Care Solutions, Inc.
• Prospect Imaging Center, LLC
• Puran Med Incorporated
• PV Group Supplies Inc
• Anam Qadri
• Kevin Quach, PHARMD
• Nayab Qureshi, MD

• Mental Health Counselor in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.