Active NPI
Jeanne Kett, LCPC
- Professional Counselor
- Elmhurst, IL
National Provider Identifier
1497275671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.001553
- Practice address
- 180 W Park Ave Ste 130
Elmhurst, IL 60126-3379 - Phone
- (312) 800-9426
- NPI assigned
- Jun 20, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 180.001553 | IL | Primary |
Addresses
Primary practice location
180 W Park Ave Ste 130
Elmhurst, IL 60126-3379
Mailing address
PO Box 1464
Elmhurst, IL 60126-8464
Phone (312) 800-9426
Other practice location 1
4300 Commerce Ct Ste 220
Lisle, IL 60532-3698
Phone (312) 800-9426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.001553 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kett Counseling and Educational Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Lisle, IL
- NPI 1417493495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1497275671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1464",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601268464",
"telephone_number": "312-800-9426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 W PARK AVE STE 130",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601263379",
"telephone_number": "312-800-9426"
}
],
"practiceLocations": [
{
"address_1": "4300 Commerce Ct Ste 220",
"address_purpose": "LOCATION",
"city": "Lisle",
"state": "IL",
"postal_code": "605323698",
"country_code": "US",
"telephone_number": "312-800-9426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KETT",
"first_name": "JEANNE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.001553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.