DEHVIN WHITE-PECK
NPI 1164977807
Counselor - Professional in Crest Hill, IL

Active since August 23, 2016PECOS Enrolled
1324 HARVEST DR, CREST HILL, IL 60403(770) 510-6469 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 16, 2023, Aug 23, 2016 (2 updates tracked since 2016).

About Dehvin White-peck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEHVIN WHITE-PECK (NPI 1164977807) is an individual professional provider in Crest Hill, Illinois, licensed in Illinois (180013334) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164977807
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDEHVIN WHITE-PECK
Location Address1324 HARVEST DRCrest Hill, IL 60403-0956
Mailing Address1324 Harvest DrCrest Hill, IL 60403-0956 · (770) 510-6469
Sole ProprietorYes
Enumeration DateAugust 23, 2016
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1164977807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180013334
1324 HARVEST DR, Crest Hill, IL 60403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dehvin White-peck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1324 HARVEST DR
CREST HILL, IL 60403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164977807, enumerated as an "individual" on August 23, 2016.

The provider is located at 1324 HARVEST DR CREST HILL, IL 60403 and the phone number is (770) 510-6469.

Counselor with taxonomy code 101YP2500X and a focus in Professional.