Kerry J. Devries, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180000829 Issued in IL

Legal business name

KERRY J. DEVRIES, INC.

Practice address

1580 N Northwest Hwy
Suite 125
Park Ridge, IL 60068-1444

Phone

(224) 707-0847

NPI assigned

Dec 30, 2015

Last updated

Dec 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerry J. Devries, L.C.P.CNPI 1104943174

Title

President

Phone

(224) 707-0847

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry J Devries, M.A., L.C.P.C.

  • Professional Counselor
  • Park Ridge, IL
  • NPI 1104943174
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1578928859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY",
            "address_2": "SUITE 125",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681444",
            "telephone_number": "224-707-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY",
            "address_2": "SUITE 125",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681444",
            "telephone_number": "224-707-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY J. DEVRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-707-0847",
        "authorized_official_credential": "L.C.P.C"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180000829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Kennedy Jr.
• Rachel Mary Kennedy, LCPC
• John P Kenney, DDS, MS
• Erik Kerber
• Karly Kern, CGC
• Peter D Kerstan, MD
• Bret Kersting, DO
• Pauline Keselman
• Kimberly Kessell, PHARMD, RPH
• Abshar Khan, DO

• Professional Counselor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.