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

Kyle Tanner, LCPC

Individual provider Professional Counselor · NPI 1679156046

Kyle Tanner, LCPC is a Professional Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1053 W Grace St Apt 2E
Chicago, IL 60613-5082
Phone: (843) 450-5953
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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 180013001 (IL)

Record details

NPI number1679156046
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedMay 3, 2021
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021

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