Kathy J De Vries, M.A., L.C.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.007790 Issued in IL

Practice address

9721 W 165TH St
Suite 23
Orland Park, IL 60467-4511

Phone

(708) 846-6986

Fax

(708) 460-0300

NPI assigned

Sep 10, 2008

Sex

Female

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Beekman Chiropractic & Wellness Center Inc.

  • Chiropractor
  • Orland Park, IL
  • NPI 1992972301
  NPD (past)
• Sheila a. Boender, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orland Park, IL
  • NPI 1720223340
  NPD (past)

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1295984516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 W. 165TH ST",
            "address_2": "SUITE 23",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674511",
            "telephone_number": "708-846-6986",
            "fax_number": "708-460-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 W 165TH ST",
            "address_2": "SUITE 23",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674511",
            "telephone_number": "708-846-6986",
            "fax_number": "708-460-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VRIES",
        "first_name": "KATHY",
        "middle_name": "J",
        "credential": "M.A., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terene Davis, COTA
• Nancy Dawkins, LCSW
• Sabrina Dawud, DMD
• Carolyn E. Day, OTR/L
• Paul Michael De Bustros
• Monica J Decicco, WHNP
• Lazma Deeb, DMD
• Maria Degrazia Cohen
• Julie A Deisinger, PH.D.
• Megan Joy Dejong, M.D.

• 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 Dec 4, 2015; 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.