Active NPI
Kyle Dvorak
- Professional Counselor
- Joliet, IL
National Provider Identifier
1851836365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.011570
- Practice address
- 1051 Essington Rd Ste 280
Joliet, IL 60435-2808 - Phone
- (779) 243-5677
- NPI assigned
- Dec 20, 2016
- Last updated
- Jan 29, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.011570 | IL | Primary |
Addresses
Primary practice location
1051 Essington Rd Ste 280
Joliet, IL 60435-2808
Mailing address
910 Grand Mesa
New Lenox, IL 60451-8561
Phone (630) 294-6133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.011570 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1851836365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 GRAND MESA",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604518561",
"telephone_number": "630-294-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 ESSINGTON RD STE 280",
"city": "JOLIET",
"state": "IL",
"postal_code": "604352808",
"telephone_number": "779-243-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DVORAK",
"first_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-20",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.011570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.