Kaitlyn Dianne Doty

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.014007 Issued in IL

Practice address

1801 W Warner Ave
Chicago, IL 60613-1891

Phone

(773) 355-8617

NPI assigned

Dec 11, 2019

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

Electronic endpoints 1

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.

• Augustyn Family Services Inc

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1639599681
  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1992343743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 W ARGYLE ST APT 404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406475",
            "telephone_number": "608-512-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W WARNER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131891",
            "telephone_number": "773-355-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "KAITLYN",
        "middle_name": "DIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.014007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kaitlyndoty",
            "affiliation": "N",
            "address_1": "1801 W Warner Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606131891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Latoya Jo Dotson, ED.D
• Marchunette Dotson
• Nicholas Dotson, PMHNP
• Timothy B Dotson, D.D.S.
• Alicia Doty, PSYD
• Mary Alexandra PW Doty, MSSW, LCSW
• Robert Doty
• Marialuisa Doubek, FNP
• Double Helix Group. LTD
• Marcella Douce, LCSW

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, 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 Dec 11, 2019; 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.