Kaitlyn Marie Bell
Individual provider Active NPI Mental Health Counselor · Dekalb, IL
NPI 1154037836 · NPPES record last updated Jan 26, 2023
Key facts
- NPI
- 1154037836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 17004 (IL)
- Practice address
- 1325 Sycamore Rd
Dekalb, IL 60115-2483 - Phone
- (815) 758-8616
- NPI assigned
- Jan 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17004 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Agency of Dekalb County, Inc. | Current |
Accepting new patients | |
| Family Service Agency of Dekalb County, Inc. | Current |
Accepting new patients |
Locations
1325 Sycamore Rd
DeKalb, IL 60115
Phone (815) 758-8616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 17004 | IL | Yes |
Addresses
Primary practice location
1325 Sycamore Rd
Dekalb, IL 60115-2483
Mailing address
1067 Regent Dr
Dekalb, IL 60115-6053
Phone (913) 608-2144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184154007 | Medicaid | IL |
Other providers in Dekalb, IL
- Maya Beard
- Melissa Rhoades Beck
- Lisa Davidson Becker
- Kathleen Marie Becket
- Emily Belcher
- Ben Gordon Center
- Ben Gordon Center
- Ben Gordon Center
- Ben Gordon Center
- Ben Gordon Center
All providers in Dekalb, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.