Individual provider Active NPI

Devin Van Duerm, LCPC

  • Professional Counselor
  • Woodridge, IL
National Provider Identifier
1295300192
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014276 Issued in IL
Practice address
6440 Main St Ste 100
Woodridge, IL 60517-1753
Phone
(630) 968-0792
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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 180014276 IL Primary

Addresses

Primary practice location

6440 Main St Ste 100
Woodridge, IL 60517-1753

Mailing address

3507 Tussell St
Naperville, IL 60564-4163
Phone (312) 208-5194

Other names 1

  • Devin Knor Former name

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 30, 2026 through Jan 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180014276ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer E. Manfre, LTD PastSince Sep 29, 2024 Accepting new patients

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1295300192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 TUSSELL ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644163",
            "telephone_number": "312-208-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 MAIN ST STE 100",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171753",
            "telephone_number": "630-968-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DUERM",
        "first_name": "DEVIN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVIN",
            "last_name": "KNOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodridge, IL

Sources for this page

Verify at the official NPI Registry.