Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kinzie Therapy & Consulting PLLC

Organization Clinical Social Worker · NPI 1083588636

Kinzie Therapy & Consulting PLLC is a Clinical Social Worker in Evanston, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2530 Crawford Ave Ste 317
Evanston, IL 60201-4972
Phone: (847) 644-0940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1083588636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taya Kinzie — Manager · (847) 644-0940
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address3611 Hillside Rd, Evanston, IL 60201-4936

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