Active NPI
Kainos Counseling and Consultation, PLLC
- Community/Behavioral Health Agency
- Glen Ellyn, IL
National Provider Identifier
1497539266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- KAINOS COUNSELING AND CONSULTATION, PLLC
- Practice address
- 800 Roosevelt Rd BLDG. E
Ste 410, #8
Glen Ellyn, IL 60137-5839 - Phone
- (630) 216-9201
- NPI assigned
- Aug 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Michael Dally, LCPC, EMDR
- Title
- Owner/Therapist
- Phone
- (253) 223-5468
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
800 Roosevelt Rd BLDG. E
Ste 410, #8
Glen Ellyn, IL 60137-5839
Mailing address
26W068 Jewell Rd
Wheaton, IL 60187-3931
Phone (253) 223-5468
Other practice location 1
26W068 Jewell Rd
Wheaton, IL 60187-3931
Phone (253) 223-5468
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Glen Ellyn, IL
- NPI 1639444573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1497539266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26W068 JEWELL RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873931",
"telephone_number": "253-223-5468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROOSEVELT RD BLDG. E",
"address_2": "STE 410, #8",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375839",
"telephone_number": "630-216-9201"
}
],
"practiceLocations": [
{
"address_1": "26W068 Jewell Rd",
"address_purpose": "LOCATION",
"city": "Wheaton",
"state": "IL",
"postal_code": "601873931",
"country_code": "US",
"telephone_number": "253-223-5468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KAINOS COUNSELING AND CONSULTATION, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "DALLY",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "253-223-5468",
"authorized_official_credential": "LCPC, EMDR"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.