Healthcare Provider Details

I. General information

NPI: 1962335893
Provider Name (Legal Business Name): KINGSFOIL COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 W SHERWIN AVE APT 807
CHICAGO IL
60626-2257
US

IV. Provider business mailing address

2501 CHATHAM RD # 8268
SPRINGFIELD IL
62704-4188
US

V. Phone/Fax

Practice location:
  • Phone: 518-347-7268
  • Fax:
Mailing address:
  • Phone: 518-347-7268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANNA ALDRICH
Title or Position: PRACTICE OWNER
Credential: LCSW
Phone: 518-347-7268