Kenny Chan, LPC in Bloomingdale, IL - Medicare Mental Health Counselor Provider

Kenny Chan, LPC is a medicare enrolled "Counselor - Professional" provider in Bloomingdale, Illinois. He graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Rockford Psychiatric Medical Services Sc and his current practice location is 125 Fairfield Way Ste 380, Bloomingdale, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 295-5470.

Kenny Chan is licensed to practice in Illinois (license number 178016192) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174121495.

Contact Information

	Kenny Chan, LPC
	125 Fairfield Way Ste 380, Bloomingdale, IL 60108-3701
	(815) 295-5470
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenny Chan
Gender	Male
Speciality	Mental Health Counselor
Experience	6 Years
Location	125 Fairfield Way Ste 380, Bloomingdale, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenny Chan graduated from medical school in 2020

NPI Data:

NPI Number: 1174121495
Provider Enumeration Date: 10/09/2020
Last Update Date: 12/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7719470285
Enrollment ID: I20251203001560

Medical Identifiers

Medical identifiers for Kenny Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174121495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178.016192 (Illinois)	Secondary
101YP2500X	Counselor - Professional	178016192 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rockford Psychiatric Medical Services Sc	6901089515	144

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenny Chan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenny Chan, LPC 2419 N Windsor Dr, Arlington Heights, IL 60004-2726 Ph: (773) 540-3630	Kenny Chan, LPC 125 Fairfield Way Ste 380, Bloomingdale, IL 60108-3701 Ph: (815) 295-5470

Reviews and Comments

Counselor in Bloomingdale, IL

Ms. Erin Redfern, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 E Lake St Ste 200, Bloomingdale, IL 60108 Phone: 815-295-5470 Fax: 224-520-8790
Jamie Lynn Marie Meskin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Fairfield Way Ste 380, Bloomingdale, IL 60108 Phone: 815-295-5470
Erin J Austin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5n443 Santa Fe Trl, Bloomingdale, IL 60108 Phone: 630-465-3374
James Visinaiz Jr., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Fairfield Way Ste 240, Bloomingdale, IL 60108 Phone: 630-309-2989 Fax: 630-790-3804
Mark T Kenny, MS LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 East Army Trail Rd, Suite#300d, Bloomingdale, IL 60108 Phone: 630-530-2220 Fax: 866-728-5493
Dylan Tedvon Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 E Lake St Ste And106, Bloomingdale, IL 60108 Phone: 815-295-5470
Toni Gary, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 N Rosedale Ave Ste 100, Bloomingdale, IL 60108 Phone: 630-893-6685

Kenny Chan, LPC - Medicare Counselor in Bloomingdale, IL