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KENNY CHAN LPC
NPI 1174121495
Counselor - Professional in Bloomingdale, IL

Active since October 09, 2020PECOS EnrolledAccepts Medicare Assignment
125 FAIRFIELD WAY STE 380, BLOOMINGDALE, IL 60108(815) 295-5470 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kenny Chan Lpc NPPES

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

KENNY CHAN LPC (NPI 1174121495) is an individual professional provider in Bloomingdale, Illinois, licensed in Illinois (178016192) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174121495
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKENNY CHANCredential: LPC
Location Address125 FAIRFIELD WAY STE 380Bloomingdale, IL 60108-3701
Mailing Address2419 N Windsor DrArlington Heights, IL 60004-2726 · (773) 540-3630
Phone(815) 295-5470
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 9, 2020
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1174121495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 178016192✔ Licensed in IL · 178.016192
125 FAIRFIELD WAY STE 380, Bloomingdale, IL 60108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenny Chan Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719470285
PECOS Enrollment IDI20251203001560
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 7

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

JAMIE LYNN MARIE MESKIN
Behavior Technician
125 FAIRFIELD WAY STE 380
BLOOMINGDALE, IL 60108
Dupage County (815) 295-5470
ROSA ELENA TOTOCHENKO LCSW
Social Worker (Clinical)
125 FAIRFIELD WAY STE 380
BLOOMINGDALE, IL 60108
Dupage County (630) 237-4446
ELIZABETH ANNE JOHANSSON LCPC
Counselor (Professional)
125 FAIRFIELD WAY STE 380
BLOOMINGDALE, IL 60108
Dupage County (815) 295-5470
AMANDA CIMAGLIA
Counselor (Mental Health)
125 FAIRFIELD WAY STE 380
BLOOMINGDALE, IL 60108
Dupage County (815) 295-5470
MAYCE HASSAN
Counselor (Mental Health)
125 FAIRFIELD WAY STE 380
BLOOMINGDALE, IL 60108
Dupage County (815) 295-5470
KATHLEEN MATTES
Counselor (Mental Health)
125 FAIRFIELD WAY STE 380
BLOOMINGDALE, IL 60108
Dupage County (815) 295-5470
AMANDA WILHITE LCPC
Counselor (Mental Health)
125 FAIRFIELD WAY STE 380
BLOOMINGDALE, IL 60108
Dupage County (815) 295-5470

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 Kenny Chan's NPI number?

The NPI number for Kenny Chan is 1174121495. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Kenny Chan located?

Kenny Chan practices at 125 Fairfield Way Ste 380, Bloomingdale, IL 60108. The listed phone number is (815) 295-5470.

What is Kenny Chan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kenny Chan enrolled in Medicare?

Yes. Kenny Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenny Chan accept?

Health plans from Providence Health Plan list Kenny Chan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenny Chan was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.