Dejohn Anthony Barnes, MA LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.017313 Issued in IL

Practice address

6645 North Ave Uppr Level
Oak Park, IL 60302-1057

Phone

(708) 386-5080

NPI assigned

Sep 30, 2024

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 and National Provider Directory roles.

• Lifespan Counseling and Psychological Services, LLP

  • Clinical Psychologist
  • Oak Park, IL
  • NPI 1255577359
  NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1467270322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 NORTH AVE UPPR LEVEL",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021057",
            "telephone_number": "708-386-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 NORTH AVE UPPR LEVEL",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021057",
            "telephone_number": "708-386-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "DEJOHN",
        "middle_name": "ANTHONY",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178016675",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.017313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Lawrence Baranowski, DDS
• Blair Winn Barbour, MSW ACSW LCSW
• Susan Bardolph, MD
• Stephanie Barker, DNP, APRN, CPNP-PC
• Chandra Y Barnes
• Ruqayyah Barnes
• Mary Barnett
• Michael Barnish, ATC
• Jennifer Nicole Barreto, M.A., BCBA, LBA
• Marquita N Barrett, PH.D

• Professional Counselor in Oak Park, IL
• Providers in Oak 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 28, 2025; 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.