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THERESA KELLY M.A.LPCLCPC NPI 1548639891


NPI Information

NPI: 1548639891
Provider Name: THERESA KELLY, M.A.,LPC,LCPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
4919 W CATALPA AVE
CHICAGO, IL
ZIP 60630
Phone: (773) 562-6230
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Theresa Kelly, M.A.,LPC,LCPC is a counselor in Chicago, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Theresa Kelly, M.A.,LPC,LCPC NPI is 1548639891. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4919 W CATALPA AVE
CHICAGO, IL
ZIP 60630-514
Phone: (773) 562-6230

The enumeration date for this NPI number is 9/16/2015 and was last updated on 3/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor180009878ILLINOISYes
2101Y00000XCounselor178006846ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.