KERRY DUEHOLM LPC
NPI 1124482302
Counselor - Professional in Barrington, IL
About Kerry Dueholm Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERRY DUEHOLM LPC (NPI 1124482302) is an individual professional provider in Barrington, Illinois, licensed in Illinois (178.011768) and active in the NPI registry since April 2016. She has opted out of Medicare through June 14, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kerry Dueholm Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 14, 2024 through June 14, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BARRINGTON, IL 60010
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kerry Dueholm's NPI number?
The NPI number for Kerry Dueholm is 1124482302. It was assigned to this individual provider in the NPPES registry on April 13, 2016.
Where is Kerry Dueholm located?
Kerry Dueholm practices at 1000 Hart Rd Suite 201, Barrington, IL 60010. The listed phone number is (847) 382-4683.
What is Kerry Dueholm's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kerry Dueholm enrolled in Medicare?
No. Kerry Dueholm has opted out of Medicare through June 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Kerry Dueholm was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kerry Dueholm, LPC · NPI 1124482302
Professional provider in Barrington, Illinois. Individual provider, active in the CMS NPPES registry since April 13, 2016.
## Identity
- **NPI:** 1124482302 (Entity type: Individual)
- **Enumerated:** April 13, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178.011768 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 HART RD, SUITE 201, Barrington, IL 60010-2659
- **Phone:** (847) 382-4683
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 14, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 13, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1124482302) · Data from the CMS NPPES public registry.