Individual provider Active NPI

Margaret Kwiatkowski

  • Professional Counselor
  • Addison, IL
National Provider Identifier
1962870543
Registry record updated Sep 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178001046 Issued in 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
Last updated
Sep 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178001046 IL Primary

Addresses

Primary practice location

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

Mailing address

519 Rue Chamonix
Barrington, IL 60010-3710
Phone (630) 620-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178001046ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Education and Treatment, Inc. PastSince Jan 1, 2016 Accepting new patients
Access Community Health Network Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; 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.