Kerry J Devries, M.A., L.C.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-000829 Issued in IL

Practice address

1580 N Northwest Hwy Ste 125
Park Ridge, IL 60068-1470

Phone

(224) 707-0847

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Kerry Devries Bangeman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Kerry J. Devries, Inc.

  • Professional Counselor
  • Park Ridge, IL
  • NPI 1578928859
  NPD (past) Authorized official
• Arlington Counseling Associates, LTD

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1437243094
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1104943174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 125",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681470",
            "telephone_number": "224-707-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 125",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681470",
            "telephone_number": "224-707-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "KERRY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "M.A., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-000829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP NUMBER",
            "identifier": "1437243094",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "BANGEMAN",
            "middle_name": "DEVRIES",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Avni Dervishi
• Molly Deslandes, PSYD
• Maria Geraldinesneha Devanesan, MD
• Maryann Almores Devilla, DPT
• Devoted Rehab Services
• Maria R. Devries, M.D.
• Mary Claire Dewberry-Lait, NP
• Alexandra Dewoskin, MSW, LCSW
• Eugene Edmund Dezanek, DPM
• Anu M Dharod

• Professional Counselor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.