Individual provider Active NPI

Vicki L Den Exter Blokland, LCPC

  • Professional Counselor
  • Cary, IL
National Provider Identifier
1477605673
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180000707 Issued in IL
Practice address
2615 Three Oaks Rd Ste 2a
Cary, IL 60013-6119
Phone
(847) 704-2359
Fax
(847) 223-6431
NPI assigned
Jan 17, 2007
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 180000707 IL Primary

Addresses

Primary practice location

2615 Three Oaks Rd Ste 2a
Cary, IL 60013-6119

Mailing address

2615 Three Oaks Rd
Suite 2a
Cary, IL 60013
Phone (708) 962-0547

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240806002785 IL Practitioner - Mental Health Counselor 2365989571 Practice locations: Cary, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2615 3 Oaks Rd
Suite 2a
Cary, IL 60013-6119
Phone (847) 704-2359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1477605673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 THREE OAKS RD",
            "address_2": "SUITE 2A",
            "city": "CARY",
            "state": "IL",
            "postal_code": "60013",
            "telephone_number": "708-962-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 THREE OAKS RD STE 2A",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600136119",
            "telephone_number": "847-704-2359",
            "fax_number": "847-223-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEN EXTER BLOKLAND",
        "first_name": "VICKI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180000707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, IL

Sources for this page

Verify at the official NPI Registry.