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

Miss. Kenyon Rena Douglass, LCPC

Individual provider Professional Counselor · NPI 1215002050

Miss. Kenyon Rena Douglass, LCPC is a Professional Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1525 E 53rd St Ste 429
Chicago, IL 60615-4557
Phone: (312) 388-9182
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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 180004106 (IL)

Record details

NPI number1215002050
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedNovember 21, 2006
Last updated in NPPESJuly 8, 2007

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