Kinzie Therapy & Consulting PLLC
NPI 1083588636ActiveOrganization· Social Worker, Clinical· Evanston, IL
Social Worker, Clinical in Evanston, Illinois, registered in NPPES in October 2025. The authorized official on file is Taya Kinzie, LCSW, EDD, Manager.
Overview
| NPI | 1083588636 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 6, 2025 |
| Last updated in NPPES | Oct 7, 2025 |
| Certified by provider | Oct 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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