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LORYN CHAS KIMBROUGH LCPC
NPI 1376318972
Counselor - Mental Health in Matteson, IL

Active since November 24, 2023PECOS Enrolled
3610 216TH ST, MATTESON, IL 60443(708) 925-4321 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2024, Nov 24, 2023 (2 updates tracked since 2023).

About Loryn Chas Kimbrough Lcpc NPPES

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

LORYN CHAS KIMBROUGH LCPC (NPI 1376318972) is an individual mental health provider in Matteson, Illinois, licensed in Illinois (180.015012) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376318972
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLORYN CHAS KIMBROUGHCredential: LCPC
Location Address3610 216TH STMatteson, IL 60443-2713
Mailing Address3610 216th StMatteson, IL 60443-2713 · (708) 925-4321
Phone(708) 925-4321
Sole ProprietorYes
Enumeration DateNovember 24, 2023
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1376318972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180.015012
Also ListedCounselorTaxonomy 101Y00000X · License 180.015012 (IL)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180.015012 (IL)
3610 216TH ST, Matteson, IL 60443
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Loryn Chas Kimbrough Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

THERAPY OVER EASY PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3610 216TH ST
MATTESON, IL 60443
Cook County (708) 925-4321

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 Loryn Kimbrough's NPI number?

The NPI number for Loryn Kimbrough is 1376318972. It was assigned to this individual provider in the NPPES registry on November 24, 2023.

Where is Loryn Kimbrough located?

Loryn Kimbrough practices at 3610 216th St, Matteson, IL 60443. The listed phone number is (708) 925-4321.

What is Loryn Kimbrough's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Loryn Kimbrough enrolled in Medicare?

Yes. Loryn Kimbrough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Loryn Kimbrough was last updated on August 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.