Rachel Kinison, LCPC, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180007037 Issued in IL

Practice address

233 Northway Park Rd Apt 5
Machesney Park, IL 61115-2012

Phone

(815) 540-1785

NPI assigned

Mar 16, 2009

Sex

Female

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

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1992946354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 NORTHWAY PARK RD APT 5",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152012",
            "telephone_number": "815-540-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 NORTHWAY PARK RD APT 5",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152012",
            "telephone_number": "815-540-1785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 W State St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611011214",
            "country_code": "US",
            "telephone_number": "815-720-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINISON",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "LCPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-001622",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Powers Jones, PHARMD
• Joseph N Mangiardi PC
• Kenneth M Lutsch,DDS,LTD
• Khulan Khuchitbaatar, OD
• Perri Killam, PHARMD
• Brant Montgomery Kitto, RPH
• Sheila C Kitzman, RPH
• Lori Ann Lane, RPH
• Dixie Dianne Lee
• Ryan Christopher Lee

• Professional Counselor in Machesney Park, IL
• Providers in Machesney Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.