Healthcare Provider Details

I. General information

NPI: 1841120250
Provider Name (Legal Business Name): KINDROOT COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1912 BROWN AVE
EVANSTON IL
60201-3342
US

IV. Provider business mailing address

1912 BROWN AVE
EVANSTON IL
60201-3342
US

V. Phone/Fax

Practice location:
  • Phone: 847-651-7002
  • Fax:
Mailing address:
  • Phone: 847-651-7002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARGARET MEYER
Title or Position: MANAGER
Credential:
Phone: 847-651-7002