Active NPI
Keri Perillo, LCPC, CADC
- Professional Counselor
- Matteson, IL
National Provider Identifier
1881348746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180014252
- Practice address
- 4331 Lincoln Hwy
Matteson, IL 60443-2404 - Phone
- (708) 748-1951
- NPI assigned
- Feb 9, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 180014252 | IL | Primary |
Addresses
Primary practice location
4331 Lincoln Hwy
Matteson, IL 60443-2404
Mailing address
234 Tampa St
Park Forest, IL 60466-2435
Phone (708) 691-7363
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180014252 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1881348746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 TAMPA ST",
"city": "PARK FOREST",
"state": "IL",
"postal_code": "604662435",
"telephone_number": "708-691-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4331 LINCOLN HWY",
"city": "MATTESON",
"state": "IL",
"postal_code": "604432404",
"telephone_number": "708-748-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERILLO",
"first_name": "KERI",
"credential": "LCPC, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-09",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180014252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matteson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.