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

Jamie Kmieciak

Individual provider Mental Health Counselor · NPI 1902653199

Jamie Kmieciak is a Mental Health Counselor in Lisle, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

4745 Main St Ste 207
Lisle, IL 60532-1758
Phone: (630) 442-1895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 178.020146 (IL)

Record details

NPI number1902653199
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2024
Last updated in NPPESMay 4, 2024
Certification dateMay 4, 2024

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