Lateef Kelani, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

277002890 Issued in IL

Practice address

3030 Warrenville Rd Ste 450-06
Lisle, IL 60532-1000

Phone

(567) 262-4368

Fax

(708) 318-7345

NPI assigned

Dec 6, 2020

Sex

Male

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindwell IncGroup PAC ID 4587949383, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Ambientminds Behavioral & Wellness Center PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lisle, IL
  • NPI 1851181093
  Medicare reassignment NPD Authorized official
• Mindwell Inc

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1396281838
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL, Psychiatric/Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1164028189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 WARRENVILLE RD STE 450-06",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321000",
            "telephone_number": "567-262-4368",
            "fax_number": "708-318-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 WARRENVILLE RD STE 450-06",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321000",
            "telephone_number": "567-262-4368",
            "fax_number": "708-318-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELANI",
        "first_name": "LATEEF",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-06",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rishi Kapoor, D.C.
• Marcelle Karwowski, LPC
• Jennifer Lee Kassir, M.D.
• Beth Kathan
• Katherine Borchardt, Psy.D., P.C.
• Laurie K Kelly, LCSW
• Ellen Kennelly, FNP
• Laura Elizabeth Kenter, M.S., A.T.C.
• Kett Counseling and Educational Services, LLC
• Asma Khalid, MD

• Psychiatric/Mental Health Nurse Practitioner in Lisle, IL
• Providers in Lisle, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.