Miss Kenyon Rena Douglass is a Chicago, Illinois based counselor who is specialized as Professional Counselor. Active license number of Miss Kenyon Rena Douglass is 180004106 for Professional Counselor in Illinois. Her current practice location is 1525 E 53rd St, Suite 429, Chicago. Patients can book an appointment with her at 312-388-9182.
Miss Kenyon Rena Douglass is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Miss Kenyon Rena Douglass speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Miss Kenyon Rena Douglass
Specialization:
Professional Counselor
Gender:
Female
Credentials:
LCPC
Accepts Medicare Assignment:
No
Practice Address:
1525 E 53rd St, Suite 429, Chicago, Illinois, 60615-4557
Phone:
312-388-9182
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1215002050
NPI Enumeration Date:
21 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Kenyon Rena Douglass are as mentioned below.
License Number
Specialization
State
Status
180004106
Professional Counselor
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Miss Kenyon Rena Douglass such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
567052000
Other
Illinois
MAGELLAN HEALTH
1634163
Other
Illinois
BLUE CROSS BLUE SHIELD IL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4518 S Indiana Ave, Unit 2 Chicago, Illinois
Zip:
60653-3908
Phone Number:
773-624-9878
Patients can reach Miss Kenyon Rena Douglass at 1525 E 53rd St, Suite 429, Chicago, Illinois or can call to book an appointment on 312-388-9182. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.