Active NPI
Rhonda Kelloway, LCSW, Therapy & Meditation PC
- Clinical Social Worker
- Glen Ellyn, IL
National Provider Identifier
1003954306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149011371
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002232980 | Other | IL | BLUECROSS BLUESHIELD |
National Provider Directory
National Provider DirectoryLocations
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.