Organization Active NPI

Kelly Sharp Counseling PLLC

  • Clinical Social Worker
  • Morton, IL
National Provider Identifier
1144197187
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KELLY SHARP COUNSELING PLLC
Practice address
71 E Queenwood Rd
Morton, IL 61550-2985
Phone
(309) 834-4439
NPI assigned
Oct 23, 2025
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Kelly SharpNPI 1497441596
Title
Owner
Phone
(309) 830-4439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

71 E Queenwood Rd
Morton, IL 61550-2985

Mailing address

71 E Queenwood Rd
Morton, IL 61550-2985
Phone (309) 834-4439

National Provider Directory

National Provider Directory

Locations

71 E Queenwood Rd
Morton, IL 61550
Phone (309) 834-4439

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1144197187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 E QUEENWOOD RD",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502985",
            "telephone_number": "309-834-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 E QUEENWOOD RD",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502985",
            "telephone_number": "309-834-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY SHARP COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-830-4439"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.