Individual provider Active NPI

Kelly Morgan McCradic, MA LPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1124774732
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178018117 Issued in IL
Practice address
2443 N Kildare Ave Apt 3F
Chicago, IL 60639-2079
Phone
(224) 388-2846
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178018117 IL Primary
Community/Behavioral Health Agency 251S00000X 178018117 IL

Addresses

Primary practice location

2443 N Kildare Ave Apt 3F
Chicago, IL 60639-2079

Mailing address

2443 N Kildare Ave Apt 3F
Chicago, IL 60639-2079
Phone (224) 388-2846

Other practice location 1

4007 N Broadway St
Chicago, IL 60613-6074
Phone (224) 388-2846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178018117ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Authentic Living, Inc. Professional CurrentSince Feb 27, 2022 Accepting new patients
Center for Authentic Living Mental Health PastSince Feb 27, 2022 Accepting new patients

Locations

120 Main St
Ste 200
Park Ridge, IL 60068
Phone (312) 237-6539

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1124774732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 N KILDARE AVE APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392079",
            "telephone_number": "224-388-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 N KILDARE AVE APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392079",
            "telephone_number": "224-388-2846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4007 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606136074",
            "country_code": "US",
            "telephone_number": "224-388-2846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRADIC",
        "first_name": "KELLY",
        "middle_name": "MORGAN",
        "name_prefix": "Miss",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178018117",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "178018117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.