Look up the most recent NPI and PECOS records

Kind Mind Counseling Pllc

Counselor

Behavioral Health & Social Service Providers

2501 Chatham Rd Ste N, Springfield, IL 62704-4188

PECOS Enrollment

Based on the most recent information from CMS, provider Kind Mind Counseling Pllc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1386407971
Provider Type
Organization
Full Name
Kind Mind Counseling Pllc

Subpart
No
Enumeration Date
2/5/2024
Last Updated
2/5/2024

Contact Information

Practice Location

2501 Chatham Rd Ste N, Springfield, IL 62704-4188

(312) 646-0680

Unlisted Fax

Mailing Location

2501 Chatham Rd Ste N, Springfield, IL 62704-4188

Unlisted Phone

Unlisted Fax

Authorized Official

Konecny, Shannon (Owner)

(312) 646-0680

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Kind Mind Counseling Pllc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Baker, Virginia K

Mcdermott, Sandra C

Jackson, Jill Christine

Winson, Georgia Dee

Gottrich Counseling And Consulting Services Pc

Forbes, David Lee

Gottrich, Kay A.

Clark, Connie Lynn

Martin, Katharine

Lovelace, Heather L