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

Kevin Lee Ross, CRC

Individual provider Mental Health Counselor · NPI 1417796020

Kevin Lee Ross, CRC is a Mental Health Counselor in Sparta, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

104 Northtown Rd
Sparta, IL 62286-1081
Phone: (618) 443-3084
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1417796020
Entity typeIndividual (Type 1)
GenderMale
Credentials CRC
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

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