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MISS KENYON RENA DOUGLASS LCPC
NPI 1215002050
Counselor - Professional in Chicago, IL

Active since November 21, 2006
1525 E 53RD ST, SUITE 429, CHICAGO, IL 60615(312) 388-9182 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Kenyon Rena Douglass Lcpc NPPES

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

MISS KENYON RENA DOUGLASS LCPC (NPI 1215002050) is an individual professional provider in Chicago, Illinois and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1215002050
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS KENYON RENA DOUGLASSCredential: LCPC
Location Address1525 E 53RD ST, SUITE 429Chicago, IL 60615-4557
Mailing Address4518 S Indiana Ave, Unit 2Chicago, IL 60653-3908 · (773) 624-9878
Phone(312) 388-9182
Sole ProprietorYes
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215002050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1525 E 53RD ST, Chicago, IL 60615
Open in Google Maps ↗

Other Identifiers 1

Other1634163IL · Blue Cross Blue Shield Il

Other Providers at the Same Location NPPES 20

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

MR. GREG ROSEN LCSW
Social Worker (Clinical)
1525 E 53RD ST, #630
CHICAGO, IL 60615
Cook County (773) 752-8808
DR. BRIAN SHEEHAN BROWN PSYD
Psychologist
1525 E 53RD ST, SUITE 516-6
CHICAGO, IL 60615
Cook County (917) 408-3148
DR. MAREALITA MARIA PIERCE M.D.
Pediatrics
1525 E 53RD ST, SUITE 832
CHICAGO, IL 60615
Cook County (773) 643-2550
MS. ANDREA ELIZABETH FREERKSEN
Social Worker (Clinical)
1525 E 53RD ST, STE 503
CHICAGO, IL 60615
Cook County (773) 542-3493
MA-DEAR HOME SERVICES, INC.
Home Health
1525 E 53RD ST, SUITE#1000
CHICAGO, IL 60615
Cook County (312) 480-8553
DR. KASEY LYNN SCHULTZ-SAINDON PH.D.
Counselor
1525 E 53RD ST, SUITE 516-1
CHICAGO, IL 60615
Cook County (773) 599-9472
MARCELLA ROGERS
Counselor (Mental Health)
1525 E 53RD ST, SUITE 425
CHICAGO, IL 60615
Cook County (773) 369-0329
APEX LICENSED HOMEHEALT CARE INC.
Home Health
1525 E 53RD ST, SUITE 806
CHICAGO, IL 60615
Cook County (312) 291-0756

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 Kenyon Douglass's NPI number?

The NPI number for Kenyon Douglass is 1215002050. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Kenyon Douglass located?

Kenyon Douglass practices at 1525 E 53rd St Suite 429, Chicago, IL 60615. The listed phone number is (312) 388-9182.

What is Kenyon Douglass'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 Kenyon Douglass was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.