Organization Active NPI

Kainos Counseling and Consultation, PLLC

  • Community/Behavioral Health Agency
  • Glen Ellyn, IL
National Provider Identifier
1497539266
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Oct 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Benjamin Michael Dally, LCPC, EMDRNPI 1639444573
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.