Individual provider Active NPI

John J. Deitche, PH.D.

  • Professional Counselor
  • Frankfort, IL
National Provider Identifier
1982623989
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180000594 Issued in IL
Practice address
20950 S Frankfort Square Rd Ste a
Frankfort, IL 60423-5125
Phone
(708) 361-6500
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180000594 IL Primary

Addresses

Primary practice location

20950 S Frankfort Square Rd Ste a
Frankfort, IL 60423-5125

Mailing address

20950 S Frankfort Square Rd Ste a
Frankfort, IL 60423-5125
Phone (708) 361-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117000760 IL Practitioner - Mental Health Counselor 7416317227 Practice locations: Frankfort, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

53 Old Frankfort Way
Frankfort, IL 60423-1719
Phone (708) 361-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
180000594ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1982623989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20950 S FRANKFORT SQUARE RD STE A",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604235125",
            "telephone_number": "708-361-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 S FRANKFORT SQUARE RD STE A",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604235125",
            "telephone_number": "708-361-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITCHE",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180000594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.