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

Kenny Chan, LPC

Individual provider Professional Counselor · NPI 1174121495

Kenny Chan, LPC is a Mental Health Counselor in Bloomingdale, Illinois. Qualified in 2020, 6 years ago. Practices with Rockford Psychiatric Medical Services SC, a 151-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

125 Fairfield Way Ste 380
Bloomingdale, IL 60108-3701
Phone: (815) 295-5470
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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 178016192 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 178.016192 (IL)

Record details

NPI number1174121495
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 9, 2020
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address2419 N Windsor Dr, Arlington Heights, IL 60004-2726

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rockford Psychiatric Medical Services Sc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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