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DR. KENNETH A GLEAVES PH.D., LCPC, NCACI
NPI 1609984764
Counselor - Professional in Evergreen Park, IL

Active since August 29, 2006
3450 W MAPLE ST RM 200, EVERGREEN PARK, IL 60805(708) 422-2885(708) 422-7161 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, May 5, 2025 (2 updates tracked since 2025).

About Dr. Kenneth A Gleaves Ph.d., Lcpc, Ncaci NPPES

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

DR. KENNETH A GLEAVES PH.D., LCPC, NCACI (NPI 1609984764) is an individual professional provider in Evergreen Park, Illinois, licensed in Illinois (180001207) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1609984764
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. KENNETH A GLEAVESCredential: PH.D., LCPC, NCACI
Location Address3450 W MAPLE ST RM 200Evergreen Park, IL 60805-3043
Mailing Address3450 W Maple St Rm 200Evergreen Park, IL 60805-3043 · (708) 422-2885 · Fax (708) 422-7161
Phone(708) 422-2885
Fax(708) 422-7161
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1609984764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180001207
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2812 (IL), 006460 (VA)
3450 W MAPLE ST RM 200, Evergreen Park, IL 60805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Gleaves's NPI number?

The NPI number for Kenneth Gleaves is 1609984764. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Kenneth Gleaves located?

Kenneth Gleaves practices at 3450 W Maple St Rm 200, Evergreen Park, IL 60805. The listed phone number is (708) 422-2885.

What is Kenneth Gleaves's specialty?

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

What insurance does Kenneth Gleaves accept?

Health plans from Providence Health Plan list Kenneth Gleaves as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Gleaves was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.