Margaret Kwiatkowski

Key facts

NPI

1962870543

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

178001046 (IL)

Practice address

721 W Lake St
Suite 100
Addison, IL 60101-2035

Phone

(630) 620-9440

Fax

(630) 620-9540

NPI assigned

Sep 12, 2015

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Access Community Health Network Federally Qualified Health Center (FQHC) · Chicago, IL · NPI 1699701383
  NPD (past)
• Behavioral Education and Treatment, Inc. Community/Behavioral Health Agency · Addison, IL · NPI 1275930521
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 12, 2015.

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442016000000",
    "number": "1962870543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 RUE CHAMONIX",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103710",
            "telephone_number": "630-620-9440",
            "fax_number": "630-620-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W LAKE ST",
            "address_2": "SUITE 100",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012035",
            "telephone_number": "630-620-9440",
            "fax_number": "630-620-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIATKOWSKI",
        "first_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178001046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jaclyn Laporte, MS, LCPC
• Alexandra Marisa Larson, RN
• Erin Marie Lastres, LCPC, CADC

All providers in Addison, IL · Professional Counselor in Illinois