NPIMap

Organization Active NPI

Keri Powell Therapy Inc

  • Mental Health Counselor
  • Champaign, IL
National Provider Identifier
1174751663
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KERI POWELL THERAPY INC
Practice address
2125 S Neil St
Champaign, IL 61820-7266
Phone
(217) 352-0200
Fax
(217) 607-1139
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Keri B Powell, LCSWNPI 1154587525
Title
Owner
Phone
(217) 352-0200

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2125 S Neil St
Champaign, IL 61820-7266

Mailing address

2125 S Neil St
Champaign, IL 61820-7266
Phone (217) 352-0200

Other practice location 1

116 S Lombard St
Mahomet, IL 61853-9202
Phone (217) 352-0200

Other practice location 2

206 N Parke St
Tuscola, IL 61953-1495
Phone (217) 352-0200

Other practice location 3

1415 W 22nd St
Oak Brook, IL 60523-2074
Phone (217) 352-0200

Other practice location 4

208 S Market St
Monticello, IL 61856-1835
Phone (217) 352-0200

Other practice location 5

301 N Neil St Ste 302
Champaign, IL 61820-3167
Phone (217) 352-0200

Other names 1

  • Keri Powell Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120720000534 IL Part B Supplier - Clinic/Group Practice 9638335532 Receives reassigned benefits from 61 practitioners
Practice locations: Champaign, IL; Oak Brook, IL; Monticello, IL; Mahomet, IL; Bloomington, IL

National Provider Directory

National Provider Directory

Locations

2404 E Empire St
Ste 120
Bloomington, IL 61704

301 N Neil St
Ste 302
Champaign, IL 61820

2125 S Neil St
Champaign, IL 61820
Phone (217) 356-3736

301 S Neil St Ste 302
Champaign, IL 61820

701 Devonshire Dr
Ste B1
Champaign, IL 61820
Phone (217) 778-4134

116 S Lombard St
Ste 104
Mahomet, IL 61853

116 S Lombard St
Mahomet, IL 61853

208 S Market St
Monticello, IL 61856

1415 W 22nd St
#1201
Oak Brook, IL 60523

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1174751663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 S NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207266",
            "telephone_number": "217-352-0200",
            "fax_number": "217-607-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 S NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207266",
            "telephone_number": "217-352-0200",
            "fax_number": "217-607-1139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 S Lombard St",
            "address_purpose": "LOCATION",
            "city": "Mahomet",
            "state": "IL",
            "postal_code": "618539202",
            "country_code": "US",
            "telephone_number": "217-352-0200",
            "fax_number": "217-607-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 N Parke St",
            "address_purpose": "LOCATION",
            "city": "Tuscola",
            "state": "IL",
            "postal_code": "619531495",
            "country_code": "US",
            "telephone_number": "217-352-0200",
            "fax_number": "217-607-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 W 22nd St",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605232074",
            "country_code": "US",
            "telephone_number": "217-352-0200",
            "fax_number": "217-607-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 S Market St",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "IL",
            "postal_code": "618561835",
            "country_code": "US",
            "telephone_number": "217-352-0200",
            "fax_number": "217-607-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Neil St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618203167",
            "country_code": "US",
            "telephone_number": "217-352-0200",
            "fax_number": "217-607-1139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KERI POWELL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-352-0200",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keri Powell Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.