Active NPI
Vicki L Den Exter Blokland, LCPC
- Professional Counselor
- Cary, IL
National Provider Identifier
1477605673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180000707
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.