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MR. KENNETH LOUIS DALLA COSTA LCPC
NPI 1265735120
Counselor - Professional in Orland Park, IL

Active since December 15, 2010
15363 TULIP CT, ORLAND PARK, IL 60462(847) 772-9289 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, May 24, 2019, Sep 11, 2017 (3 updates tracked since 2017).

About Mr. Kenneth Louis Dalla Costa Lcpc NPPES

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

MR. KENNETH LOUIS DALLA COSTA LCPC (NPI 1265735120) is an individual professional provider in Orland Park, Illinois, licensed in Illinois (180005602) and active in the NPI registry since December 2010. He maintains a secondary practice location in Cedar Lake.

NPPES Registry Identity

NPI1265735120
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. KENNETH LOUIS DALLA COSTACredential: LCPC
Location Address15363 TULIP CTOrland Park, IL 60462-5024
Mailing Address13701 Lauerman St, 38Cedar Lake, IN 46303-9292 · (847) 772-9289
Phone(847) 772-9289
Sole ProprietorYes
Enumeration DateDecember 15, 2010
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1265735120 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 · 180005602
15363 TULIP CT, Orland Park, IL 60462
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Secondary Practice Location 1

Location 113701 Lauerman StCedar Lake, IN 46303-9292 · Phone (847) 772-9289

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 Kenneth Dalla Costa's NPI number?

The NPI number for Kenneth Dalla Costa is 1265735120. It was assigned to this individual provider in the NPPES registry on December 15, 2010.

Where is Kenneth Dalla Costa located?

Kenneth Dalla Costa practices at 15363 Tulip Ct, Orland Park, IL 60462. The listed phone number is (847) 772-9289.

What is Kenneth Dalla Costa'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 Kenneth Dalla Costa was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.