Thomas Christian Kaltenecker

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178012185 Issued in IL

Practice address

6 Stanton CT
Lake in the Hills, IL 60156-6245

Phone

(847) 769-6147

NPI assigned

Apr 12, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Salt Pepper Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake in the Hills, IL
  • NPI 1124754841
  NPD Authorized official

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1992239370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STANTON CT",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566245",
            "telephone_number": "847-769-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STANTON CT",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566245",
            "telephone_number": "847-769-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTENECKER",
        "first_name": "THOMAS",
        "middle_name": "CHRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "684717",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jweie LLC
• K&B Lifecare, Inc
• Mansi V Kachhia, RPH
• Amir Kagdi, PHARMD
• Zunaid Munir Kagdi, D.C.
• Lori Kaniewski, NCC, LPC
• Derrick Karazsia, PT
• Valerie Kass
• Liesl Annette Kaye, O.D.
• Elizabeth Kebr

• Professional Counselor in Lake in the Hills, IL
• Providers in Lake in the Hills, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.