KMCD COUNSELING PLLC
NPI 1366211492
Counselor - Professional in Oak Forest, IL

Active since December 29, 2023
5912 EL MORRO LN, OAK FOREST, IL 60452(708) 560-3069 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Professional

About KMCD COUNSELING PLLC

This page provides the complete NPI Profile along with additional information for Kmcd Counseling Pllc, a provider established in Oak Forest, Illinois operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1366211492 assigned on December 2023. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Kelsey M Dagenais Lcpc (Owner)

NPI
1366211492 Verify this NPI
Provider Name
KMCD COUNSELING PLLC
Entity Type
Organization
Location Address
5912 EL MORRO LN OAK FOREST, IL 60452
Location Phone
(708) 560-3069
Mailing Address
5912 EL MORRO LN OAK FOREST, IL 60452
Mailing Phone
(708) 560-3069
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2023
Last Update Date
12-29-2023
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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

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KELSEY M DAGENAIS LCPC

Authorized Official Title
OWNER
Authorized Official Phone
(708) 560-3069

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
5912 EL MORRO LN
OAK FOREST, IL 60452

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366211492, enumerated as an "organization" on December 29, 2023.

The provider is located at 5912 EL MORRO LN OAK FOREST, IL 60452 and the phone number is (708) 560-3069.

Counselor with taxonomy code 101YP2500X and a focus in Professional.