Individual provider Active NPI

Kyla Renee Dannelke, MA, LCPC.

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1164938163
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180011257 Issued in IL
Practice address
2334 W. Lawrence Ave.
Suite 206 - Second Floor
Chicago, IL 60625-1042
Phone
(872) 216-6131
Fax
(872) 241-0100
NPI assigned
Dec 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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 180011257 IL Primary
Counselor 101Y00000X 178.012509 IL

Addresses

Primary practice location

2334 W. Lawrence Ave.
Suite 206 - Second Floor
Chicago, IL 60625-1042

Mailing address

2334 W. Lawrence Ave.
Suite 206 - Second Floor
Chicago, IL 60625-1042
Phone (872) 216-6131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.012509ILMDCounselor
180011257ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kyla R. Dannelke, LLC Professional CurrentSince Feb 21, 2021 Accepting new patients

Locations

2334 W Lawrence Ave
Ste 206
Chicago, IL 60625
Phone (312) 574-0337

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": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1164938163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 W. LAWRENCE AVE.",
            "address_2": "SUITE 206 - SECOND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251042",
            "telephone_number": "872-216-6131",
            "fax_number": "872-241-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W. LAWRENCE AVE.",
            "address_2": "SUITE 206 - SECOND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251042",
            "telephone_number": "872-216-6131",
            "fax_number": "872-241-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNELKE",
        "first_name": "KYLA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "MA, LCPC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011257",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.012509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.