Kenneth Louis Dalla Costa, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180005602 Issued in IL

Practice address

15363 Tulip CT
Orland Park, IL 60462-5024

Phone

(847) 772-9289

NPI assigned

Dec 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265735120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 LAUERMAN ST",
            "address_2": "38",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039292",
            "telephone_number": "847-772-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15363 TULIP CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625024",
            "telephone_number": "847-772-9289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13701 Lauerman St",
            "address_purpose": "LOCATION",
            "city": "Cedar Lake",
            "state": "IN",
            "postal_code": "463039292",
            "country_code": "US",
            "telephone_number": "847-772-9289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALLA COSTA",
        "first_name": "KENNETH",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Dabrowski, MS, RD, LDN, CDE
• Beatrice Olabisi Dada, R.N.
• Amina Dahleh, LCPC
• Sasha Dahshan, DC, ND
• Catherine Daley, M.D.
• John M. Damas, D.D.S.
• Hadeel Damra
• Daniel a Pacella DO PC
• Daniel P Hare DPM
• Morgan Marie Dapkus, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.