Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH A GLEAVES, PH.D., LCPC, NCACI
Active Sole ProprietorDR. KENNETH A GLEAVES, PH.D., LCPC, NCACI is a Professional Counselor healthcare provider located in EVERGREEN PARK, Illinois. NPI 1609984764 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · EVERGREEN PARK, IL
Registration Details
- NPI Number
- 1609984764
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2006 (19.77462088942 yrs)
- Last Updated
- Jun 20, 2025
- Licenses
-
2812 (IL)006460 (VA)180001207 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3450 W MAPLE ST RM 200EVERGREEN PARK, IL, 608053043Browse IL providers · Browse ZIP 60805
- Phone
- 7084222885
- Fax
- 7084227161
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in EVERGREEN PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MS. NANCY L GLEAVES | MA, LCPC, NCAC II | 1124136197 |
| MARGARET KELLY | LCPC | 1831223205 |
| MS. JANICE M FRUM | LPC, NCC | 1316232390 |
| MR. BRIAN LEE KELLEY | LCPC | 1003191990 |
| MRS. ADITRA ALLISON ALBRIGHT | LCPC | 1003155672 |
| CARLA CARTER | ED.D., LPC, CC-AASP | 1437589660 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.