Organization Active NPI

Divine Design Psychotherapy PLLC

  • Professional Counselor
  • Kankakee, IL
National Provider Identifier
1679491823
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DIVINE DESIGN PSYCHOTHERAPY PLLC
Practice address
200 E Court St Ste 710
Kankakee, IL 60901-3845
Phone
(815) 545-6701
Fax
(510) 370-4034
NPI assigned
Jul 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Robyn Caravello, LCPC
Title
Managing Member
Phone
(815) 545-6701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

200 E Court St Ste 710
Kankakee, IL 60901-3845

Mailing address

1735 S Kensington Ave
Kankakee, IL 60901-8095
Phone (815) 545-6701

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1679491823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 S KENSINGTON AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609018095",
            "telephone_number": "815-545-6701",
            "fax_number": "510-370-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 710",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013845",
            "telephone_number": "815-545-6701",
            "fax_number": "510-370-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DESIGN PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "CARAVELLO",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "815-545-6701",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.