Organization Active NPI

Rhonda Kelloway, LCSW, Therapy & Meditation PC

  • Clinical Social Worker
  • Glen Ellyn, IL
National Provider Identifier
1003954306
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011371 Issued in IL
Legal business name
RHONDA KELLOWAY, LCSW, THERAPY & MEDITATION PC
Practice address
45 S Park Blvd
Suite 200
Glen Ellyn, IL 60137-6280
Phone
(630) 569-0822
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Rhonda K Kelloway, LCSW
Title
Sole Officer & Director
Phone
(630) 569-0822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149011371 IL Primary

Addresses

Primary practice location

45 S Park Blvd
Suite 200
Glen Ellyn, IL 60137-6280

Mailing address

1032 Swift Rd Unit 2F
Glen Ellyn, IL 60137-2403
Phone (630) 569-0822

Other identifiers 1

IdentifierTypeStateIssuer
0002232980OtherILBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

2100 Manchester Rd
Ste 1070
Wheaton, IL 60187
Phone (630) 569-0822

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1003954306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 SWIFT RD UNIT 2F",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601372403",
            "telephone_number": "630-569-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S PARK BLVD",
            "address_2": "SUITE 200",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376280",
            "telephone_number": "630-569-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHONDA KELLOWAY, LCSW, THERAPY & MEDITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "KELLOWAY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE OFFICER & DIRECTOR",
        "authorized_official_telephone_number": "630-569-0822",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0002232980",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.