Fradine L. Kipnis, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178.004497 Issued in IL

Practice address

1715 Overland TRL
Deerfield, IL 60015-1811

Phone

(847) 409-6966

NPI assigned

May 4, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 17, 2025 through Feb 17, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Here for You Therapy PLLC

  • Professional Counselor
  • Highland Park, IL
  • NPI 1700691474
  NPD Authorized official
• Marianna Tsaran MD SC

  • Specialist
  • Arlington Heights, IL
  • NPI 1134283203
  NPD (past)
• In Home Health, LLC

  • Community Based Hospice Care Agency
  • Eau Claire, WI
  • NPI 1710692488
  NPD (past)

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1760171722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 OVERLAND TRL",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600151811",
            "telephone_number": "847-409-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 OVERLAND TRL",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600151811",
            "telephone_number": "847-409-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPNIS",
        "first_name": "FRADINE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.004497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Kim
• Deborah Park Kim, PHARMD
• Marcus Kim, PHARM D.
• Paul Kim, MPT
• Amy Drueck Kingan, PSYD
• KJL for Life, Inc
• Nancy Ellen Klein, DDS
• Katherine Dawn Klingenberg
• Grant Klotzbuecher, DPT, ATC
• Angelica Kociolek, MA

• Counselor in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.