Dennis Klacko, M.A., LCPC, NCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

180012441 Issued in IL

Practice address

10725 S Western Ave
Chicago, IL 60643-3135

Phone

(630) 686-2015

NPI assigned

Mar 29, 2016

Last updated

Oct 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Locations

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

• New Directions Therapy, LTD.

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1205474475
  NPD Authorized official

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1295198141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E 9TH ST APT 1901",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052152",
            "telephone_number": "630-686-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433135",
            "telephone_number": "630-686-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Cheker Sq",
            "address_purpose": "LOCATION",
            "city": "East Hazel Crest",
            "state": "IL",
            "postal_code": "604291442",
            "country_code": "US",
            "telephone_number": "708-647-3303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLACKO",
        "first_name": "DENNIS",
        "credential": "M.A., LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.011630",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "180012441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kjeld Aamodt DDS Ms Il PC
• KJL Psychological Services PLLC
• Julianne Kjolhede
• KJR Depot Inc (kjr inc)
• Kevin Klaas
• Kimberly Klafta
• Katarzyna Klak, PTA
• Natalie Kleeman Klapholz
• Barbara Klapinska, DDS
• Molly Kathryn Klare, MD

• Addiction (Substance Use Disorder) Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.