JORDAN DERY MA, LPC
NPI 1174410765
Counselor - Professional in West Dundee, IL
- Individual
- Male
- Counselor
- Professional
About JORDAN DERY
This page provides the complete NPI Profile along with additional information for Jordan Dery, a provider established in West Dundee, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1174410765 assigned on June 2025. The practitioner's primary taxonomy code is 101YP2500X with license number 178021910 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1174410765 Verify this NPI
- Provider Name
- JORDAN DERY MA, LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 528 MARKET LOOP WEST DUNDEE, IL 60118
- Location Phone
- (636) 706-1746
- Mailing Address
- 528 MARKET LOOP WEST DUNDEE, IL 60118
- Mailing Phone
- (636) 706-1746
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-18-2025
- Last Update Date
- 08-05-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 178021910
- License State
- IL
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174410765, enumerated as an "individual" on June 18, 2025.
The provider is located at 528 MARKET LOOP WEST DUNDEE, IL 60118 and the phone number is (636) 706-1746.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
