Active NPI
Dennis Clotworthy
- Marriage & Family Therapist
- Country Club Hills, IL
National Provider Identifier
1538072780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 208.001358
- Practice address
- 4201 189TH St
Country Club Hills, IL 60478-5609 - Phone
- (312) 952-3463
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 208.001358 | IL | Primary |
Addresses
Primary practice location
4201 189TH St
Country Club Hills, IL 60478-5609
Mailing address
4201 189TH St
Country Club Hills, IL 60478-5609
Phone (312) 952-3463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1538072780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 189TH ST",
"city": "COUNTRY CLUB HILLS",
"state": "IL",
"postal_code": "604785609",
"telephone_number": "312-952-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 189TH ST",
"city": "COUNTRY CLUB HILLS",
"state": "IL",
"postal_code": "604785609",
"telephone_number": "312-952-3463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOTWORTHY",
"first_name": "DENNIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "208.001358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Country Club Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.