KYLENE HENTHORN (NPI# 1083179576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083179576 |
| Entity Type | Individual |
| Full Name | KYLENE HENTHORN |
| Credential | MA, LPC |
| Practice Address |
3504 Commercial Ave Northbrook IL 60062-1821 |
| Practice Telephone | 8472725111 |
| Mailing Telephone | 8472725111 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 178012976 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3504 COMMERCIAL AVE |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174746432 | Kimberly J. Berenberg | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2007-04-11 |
| 1730798588 | Aileen Tobias | Behavior Technician | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2020-07-28 |
| 1982257374 | Natalie Wolfe | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2019-07-24 |
| 1184282212 | Kelly Larson | Assistant Behavior Analyst | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2019-06-04 |
| 1871058644 | Rebecca Rae De Rosa | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2019-02-06 |
| 1811436561 | Julie Brannen | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2017-02-14 |
| 1942671599 | Detelina Coons | Behavioral Analyst | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2015-10-08 |
| 1992184295 | Helen Maritim-adipo | Behavioral Analyst | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2015-05-20 |
| 1013257658 | Lindsay Anne Stuart | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2013-02-19 |
| 1083964381 | Katherine Rose Kennedy Barry | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2012-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073155123 | Lisa Cotler | Counselor | 1535 Lake Cook Rd Ste 111, Northbrook, IL 60062-1450 | 2019-10-10 |
| 1275084915 | Sarah Hope | Counselor | 350 Pfingsten Rd Ste 107, Northbrook, IL 60062-2032 | 2016-10-18 |
| 1740641711 | James Foster Jr. | Counselor | 40 Skokie Blvd Ste 110, Northbrook, IL 60062-1614 | 2016-03-17 |
| 1225443716 | Richard Flynn | Counselor | 801 Skokie Blvd Ste 222, Northbrook, IL 60062-4027 | 2014-06-24 |
| 1134271158 | Barbara Ann Whitney | Counselor | 333 Skokie Blvd Ste 107, Northbrook, IL 60062-1622 | 2007-01-18 |
| 1730252669 | Darlene P Morgan | Counselor | 1500 Skokie Boulevard, Suite 310, Northbrook, IL 60062-4134 | 2006-11-16 |
| 1639780208 | Yael Tobin | Counselor | 3000 Dundee Rd Ste 205, Northbrook, IL 60062-2432 | 2020-08-16 |
| 1235768722 | Kristine L Ore | Counselor | 900 Skokie Blvd Ste 218, Northbrook, IL 60062-4043 | 2020-04-06 |
| 1790329845 | Shari Kalik-miller | Counselor | 333 Skokie Blvd Ste 112, Northbrook, IL 60062-1624 | 2019-11-01 |
| 1962052357 | Kimberly Kaplan | Counselor | 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 | 2019-09-17 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on KYLENE HENTHORN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.