Alexander Kittelson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

955 N Plum Grove Rd Ste C
Schaumburg, IL 60173-4784

Phone

(847) 884-0210

Fax

(847) 884-7349

NPI assigned

Nov 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Life Inc.

  • Group Psychotherapy Psychologist
  • Jupiter, FL
  • NPI 1053909267

  MI

  Medicare reassignment NPD
• Counseling and Diagnostic Center of Woodfield, LTD.

  • Clinical Psychologist
  • Schaumburg, IL
  • NPI 1821151135
  NPD
• MB Clinical Psychology & Consulting, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1700499209
  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1942968607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N BROCKWAY ST APT 3A",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600675067",
            "telephone_number": "920-904-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N PLUM GROVE RD STE C",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734784",
            "telephone_number": "847-884-0210",
            "fax_number": "847-884-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTELSON",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cdcwbilling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Practice Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Schaumburg",
            "address_1": "955 N Plum Grove Rd Ste C",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601734784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia Kimball, LCSW
• Heidi Kimball, MS BCBA
• Katrina Kinnard, RBT
• Alyssa Kinzler
• Harry J. Kiriluk, DDS
• Landon Kleingartner
• Jennifer Klemm, LPC
• Asle Taylor Klemma, D.D.S.
• Izabella Klima
• Ala Klimuk, M.D.

• All providers in Schaumburg, IL
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.