Loryn Chas Kimbrough, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.015012 Issued in IL

Practice address

3610 216TH St
Matteson, IL 60443-2713

Phone

(708) 925-4321

NPI assigned

Nov 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL

  Medicare reassignment NPD
• Therapy Over Easy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Matteson, IL
  • NPI 1629809181
  NPD Authorized official

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1376318972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 216TH ST",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432713",
            "telephone_number": "708-925-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 216TH ST",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432713",
            "telephone_number": "708-925-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBROUGH",
        "first_name": "LORYN",
        "middle_name": "CHAS",
        "name_prefix": "Dr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-24",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.015012",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.015012",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaw Transportation LLC
• Renee Kelsey, DT
• Carol Vernice Kennerson, CRT,RRT,BS,MSM
• Robert P Kenney, LAT
• Thomas S Kilpatrick, PT
• Knowing You Health & Wellness (Gillenwater & Associates Educational Consulting)
• Stephanie Kohn, M.ED.
• Mutiat Kuforiji
• Andrew Laberge
• Adrienne Lambert

• Mental Health Counselor in Matteson, IL
• Providers in Matteson, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.