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JORDAN DERY MA, LPC
NPI 1174410765
Counselor - Professional in West Dundee, IL

Active since June 18, 2025
528 MARKET LOOP, WEST DUNDEE, IL 60118(636) 706-1746 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 5, 2025, Jun 18, 2025 (2 updates tracked since 2025).

About Jordan Dery Ma, Lpc NPPES

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

JORDAN DERY MA, LPC (NPI 1174410765) is an individual professional provider in West Dundee, Illinois, licensed in Illinois (178021910) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1174410765
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN DERYCredential: MA, LPC
Location Address528 MARKET LOOPWest Dundee, IL 60118-2193
Mailing Address528 Market LoopWest Dundee, IL 60118-2193 · (636) 706-1746
Phone(636) 706-1746
Sole ProprietorNo
Enumeration DateJune 18, 2025
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1174410765 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 · 178021910
528 MARKET LOOP, West Dundee, IL 60118
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Other Providers at the Same Location NPPES

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

DR. BRUCE EDWARD SAKIEWICZ DDS
Dentist
528 MARKET LOOP, SUITE 1
WEST DUNDEE, IL 60118
Kane County (847) 426-5400

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 Jordan Dery's NPI number?

The NPI number for Jordan Dery is 1174410765. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Jordan Dery located?

Jordan Dery practices at 528 Market Loop, West Dundee, IL 60118. The listed phone number is (636) 706-1746.

What is Jordan Dery's specialty?

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

When was this NPI record last updated?

The NPPES record for Jordan Dery was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.