MS. FRADINE L. KIPNIS LPC
NPI 1760171722
Counselor in Deerfield, IL

Active since May 04, 2023Opted out of Medicare · through Feb 17, 2027
1715 OVERLAND TRL, DEERFIELD, IL 60015(847) 409-6966 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Fradine L. Kipnis Lpc NPPES

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

MS. FRADINE L. KIPNIS LPC (NPI 1760171722) is an individual counselor in Deerfield, Illinois, licensed in Illinois (178.004497) and active in the NPI registry since May 2023. She has opted out of Medicare through February 17, 2027.

NPPES Registry Identity

NPI1760171722
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. FRADINE L. KIPNISCredential: LPC
Location Address1715 OVERLAND TRLDeerfield, IL 60015-1811
Mailing Address1715 Overland TrlDeerfield, IL 60015-1811 · (847) 409-6966
Sole ProprietorYes
Enumeration DateMay 4, 2023
NPPES CertifiedMay 4, 2023
NPI 1760171722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in IL · 178.004497
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1715 OVERLAND TRL, Deerfield, IL 60015

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Fradine L. Kipnis Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 17, 2025 through February 17, 2027.

Opt-Out Effective DateFebruary 17, 2025
Opt-Out In Effect ThroughFebruary 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Fradine Kipnis's NPI number?

The NPI number for Fradine Kipnis is 1760171722. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is Fradine Kipnis located?

Fradine Kipnis practices at 1715 Overland Trl, Deerfield, IL 60015. The listed phone number is (847) 409-6966.

What is Fradine Kipnis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Fradine Kipnis enrolled in Medicare?

No. Fradine Kipnis has opted out of Medicare through February 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Fradine Kipnis was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.