Healthcare Provider Details

I. General information

NPI: 1144949298
Provider Name (Legal Business Name): KYLE MCGUINNESS LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2022
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 S ARLINGTON HEIGHTS RD STE 116
ARLINGTON HEIGHTS IL
60005-4142
US

IV. Provider business mailing address

2101 S ARLINGTON HEIGHTS RD STE 116
ARLINGTON HEIGHTS IL
60005-4142
US

V. Phone/Fax

Practice location:
  • Phone: 847-666-5339
  • Fax: 847-637-5479
Mailing address:
  • Phone: 847-666-5339
  • Fax: 847-637-5479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.018489
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: