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Active NPI 1710191564 Individual Practitioner Male Practitioner

Jack Smith , LCPC

Counselor - Professional • Orland Park, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jack Smith, LCPC is a registered healthcare professional specializing in Counselor - Professional in Orland Park, IL. Official NPI practice address is registered at 15040 S RAVINIA AVE STE 44.

Practice Location & Contact Primary Location

Practice Address

15040 S Ravinia Ave Ste 44

Orland Park, IL 604623173

Telephone 7082261280
Fax 7082265810
Associated Practice Facility / Clinic
🏢 Kirk Clinic Facility NPI 1023188422

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Orland Park, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
93 Specialists

Practicing in Orland Park, IL (9683 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Frank Kirk , DO

Psychiatry & Neurology - Psychiatry

NPI 1144390535

Doctor of Osteopathic Medicine (D.O.)

Sandra Derda , LCSW

Social Worker - Clinical

NPI 1649340027

Licensed Clinical Social Worker

Dr. Kimberly Becker , PsyD

Psychologist - Clinical

NPI 1700090982

Doctor of Psychology (Psy.D.)

Margaret O'leary , LCPC

Counselor - Professional

NPI 1821202953

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 15040 S RAVINIA AVE STE 44, ORLAND PARK, IL 604623173 (Tel: 7082261280)

📍
Updated Business Mailing Address July 08, 2007

Registered at 15040 S RAVINIA AVE STE 44, ORLAND PARK, IL 604623173 (Tel: 7082261280)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK SMITH, L.C.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration May 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710191564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

15040 S Ravinia Ave Ste 44

Orland Park, IL 604623173

Phone: 7082261280

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.