Individual provider Active NPI

Kelly K Voorhees, LCPC

  • Professional Counselor
  • Plainfield, IL
National Provider Identifier
1154409522
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005796 Issued in IL
Practice address
24012 W Main St Ste 106
Plainfield, IL 60544-2227
Phone
(815) 648-8083
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180005796 IL Primary

Addresses

Primary practice location

24012 W Main St Ste 106
Plainfield, IL 60544-2227

Mailing address

12604 S Cherry Blossom Blvd
Plainfield, IL 60585-2316
Phone (630) 234-8776

Other identifiers 1

IdentifierTypeStateIssuer
562478620OtherILTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 25, 2024 through Jan 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180005796ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
KV Counseling LLC Current Accepting new patients

Locations

24012 W Main St
Ste 106
Plainfield, IL 60544
Phone (630) 318-0012

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1154409522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12604 S CHERRY BLOSSOM BLVD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852316",
            "telephone_number": "630-234-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 W MAIN ST STE 106",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442227",
            "telephone_number": "815-648-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOORHEES",
        "first_name": "KELLY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "562478620",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.