Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth A Gleaves, PHD, LCPC, NCACI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1609984764

Dr. Kenneth A Gleaves, PHD, LCPC, NCACI is an Addiction (Substance Use Disorder) Counselor in Evergreen Park, Illinois. Practices as a sole proprietor. Licensed in Illinois and Virginia.

Licensed in
IL, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

3450 W Maple St Rm 200
Evergreen Park, IL 60805-3043
Phone: (708) 422-2885
Fax: (708) 422-7161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180001207 (IL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2812 (IL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 006460 (VA)

Record details

NPI number1609984764
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LCPC , NCACI
Sole proprietorYes
NPI enumeratedAugust 29, 2006
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

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