Kelsey Madaj, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001241 Issued in IL

Practice address

701 E Irving Park Rd Ste 205
Roselle, IL 60172-2357

Phone

(847) 212-0494

NPI assigned

Dec 30, 2019

Last updated

Jul 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grove Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roselle, IL
  • NPI 1447878996
  NPD Authorized official
• Evergreen Counseling LLC

  • Mental Health Counselor
  • Wheaton, IL
  • NPI 1831681600

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1093354607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E IRVING PARK RD STE 205",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722357",
            "telephone_number": "847-212-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E IRVING PARK RD STE 205",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722357",
            "telephone_number": "847-212-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAJ",
        "first_name": "KELSEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wen S Li, D.C.
• Little Tikes Therapy, Inc
• Brainard G Llanes, D.D.S.
• Jeffrey Daniel Lundgren Sr., RPH
• Jane Madaj, IBCLC,RLC
• Jordan Marie Maisto, OTR/L
• Elizabeth A Malouf, MT-BC, QSP
• Lauren Renee Manzara, APN-CNP
• Marsico Enterprises, LLC (Right at Home - West Suburban Chicago)
• Max Care Behavioral Health Services Professional Corporation

• Marriage & Family Therapist in Roselle, IL
• Providers in Roselle, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.