Individual provider Active NPI

Ramin H Kadkhodaian, MA, PSYD, LCPC

  • Professional Counselor
  • Delta, CO
National Provider Identifier
1023260403
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0018005 Issued in CO
Practice address
455 Palmer St
Delta, CO 81416-1737
Phone
(970) 699-5221
NPI assigned
Oct 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180006525 IL
Professional Counselor 101YP2500X LPC.0018005 CO Primary

Addresses

Primary practice location

455 Palmer St
Delta, CO 81416-1737

Mailing address

455 Palmer St
Delta, CO 81416-1737
Phone (970) 699-5221

Other practice location 1

3205 N Wilke Rd Ste 112
Arlington Heights, IL 60004-0001
Phone (847) 253-9769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113001881 CO Practitioner - Mental Health Counselor 0547484032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

455 Palmer St
Delta, CO 81416-1737
Phone (970) 699-5221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0018005COMDProfessional Counselor
180006525ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Consulting Services of Illinois Inc. Professional CurrentSince Feb 4, 2016 Accepting new patients
Kadkhodaian Behavioral Health Center CurrentSince Jul 8, 2024 Accepting new patients

Locations

455 Palmer St
Delta, CO 81416
Phone (970) 699-5221

3205 N Wilke Rd
Ste 112
Arlington Heights, IL 60004
Phone (847) 253-9769

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1023260403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PALMER ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161737",
            "telephone_number": "970-699-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PALMER ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161737",
            "telephone_number": "970-699-5221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 N Wilke Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600040001",
            "country_code": "US",
            "telephone_number": "847-253-9769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADKHODAIAN",
        "first_name": "RAMIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MA, PSYD, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006525",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.