Kelly Ford, MS, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180010192 Issued in IL

Practice address

4923 Main St
Downers Grove, IL 60515-3654

Phone

(630) 206-0272

NPI assigned

Mar 15, 2016

Last updated

Mar 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1013378363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 MISTIC HARBOUR LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933842",
            "telephone_number": "224-489-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153654",
            "telephone_number": "630-206-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KELLY",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180010192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Flores
• Lucia Flores
• Dana Folliard
• Jill Foppe, OTR L
• Sherri Foran, RDH
• Mary Ann Fosco, LCPC, CADC
• Diane Briley Foster, P.A.
• Lydia Foster, MSN, APRN, PMHNP
• Camille Fox, D.C.
• Bryan K Foy, MD

• Mental Health Counselor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.