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Kerry J Devries , MA, LCPC

Counselor - Professional β€’ Park Ridge, IL

Active NPI 1104943174 Individual Practitioner Female Practitioner
Practice location in NPPES

1580 N Northwest Hwy Ste 125
Park Ridge, IL 600681470

Call 2247070847 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

1580 N Northwest Hwy Ste 125

Park Ridge, IL 600681470

Telephone 2247070847
Organization at the Same NPPES Address or Phone
Kerry J. Devries, Inc. Facility NPI 1578928859

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

NPI first issued

2007

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 Park Ridge and Illinois

80 active clinicians are listed under Counselor - Professional with a practice address in Park Ridge, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Park Ridge

3.8% of these 80 clinicians have the CMS telehealth indicator.

6.2% of these 80 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: 2020-02-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180-000829
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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Npi Group Number
1437243094 (IL)

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location February 24, 2020

Registered at 1580 N NORTHWEST HWY STE 125, PARK RIDGE, IL 600681470 (Tel: 2247070847)

πŸ“
Updated Business Mailing Address February 24, 2020

Registered at 1580 N NORTHWEST HWY STE 125, PARK RIDGE, IL 600681470 (Tel: 2247070847)

βœ…
NPI Profile Active December 18, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 18, 2015

Registered at 3375 N ARLINGTON HEIGHTS RD, SUITE F, ARLINGTON HEIGHTS, IL 600047701 (Tel: 8475774530)

πŸ“
Business Mailing Address (Initial Record) December 18, 2015

Registered at 3375 N ARLINGTON HEIGHTS RD, SUITE F, ARLINGTON HEIGHTS, IL 600047701 (Tel: 8475774530)

πŸ‘€
Provider Name / Credentials (Initial Record) December 18, 2015

Recorded as KERRY DEVRIES, M.A., L.C.P.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2015

Counselor (license number reported to NPPES: IL 180-000829)

🟒
Initial NPI Registration & Enumeration March 23, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104943174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2007
Last Update: February 24, 2020
Sole Proprietor: Yes

Mailing Address

1580 N Northwest Hwy Ste 125

Park Ridge, IL 600681470

Phone: 2247070847

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.