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Derek Vincent , LCPC

Counselor - Professional β€’ Chicago, IL

Active NPI 1376199075 Individual Practitioner Male Practitioner
Practice location in NPPES

1263 W Loyola Ave
Chicago, IL 606266537

Call 7732744600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1263 W Loyola Ave

Chicago, IL 606266537

Telephone 7732744600
Organization at the Same NPPES Address or Phone
Center For Grief Recovery And Sibling Loss Facility NPI 1316046386

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

2,501 active clinicians are listed under Counselor - Professional with a practice address in Chicago, IL (9,736 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

1.7% of these 2,501 clinicians have the CMS telehealth indicator.

5.4% of these 2,501 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2019-12-26
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180012640
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kathryn Conway , LCSW

Counselor - Mental Health

NPI 1578639886

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated December 26, 2019

Recorded as DEREK VINCENT, LCPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2019

Counselor (license number reported to NPPES: IL 180012640)

βœ…
NPI Profile Active August 18, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 18, 2019

Registered at 1263 W LOYOLA AVE, CHICAGO, IL 606266537 (Tel: 7732744600)

πŸ“
Business Mailing Address (Initial Record) August 18, 2019

Registered at 1632 RIVERVIEW AVE, DES PLAINES, IL 600182263

πŸ‘€
Provider Name / Credentials (Initial Record) August 18, 2019

Recorded as DEREK VINCENT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2019

Counselor (license number reported to NPPES: IL 178011563)

🟒
Initial NPI Registration & Enumeration August 18, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376199075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2019
Last Update: December 26, 2019
Sole Proprietor: No

Other Counselor - Professionals in Chicago

All Counselor - Professionals in Chicago

Mailing Address

1632 Riverview Ave

Des Plaines, IL 600182263

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.