Organization Active NPI

KC Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Champaign, IL
National Provider Identifier
1184412827
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KC COUNSELING, LLC
Practice address
313 N Mattis Ave Ste 209
Champaign, IL 61821-2461
Phone
(217) 621-0766
NPI assigned
Apr 30, 2025
Last updated
Dec 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
KC COUNSELING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Authorized official

Name
Kaitlyn Cornell, LCSW, CEDS-SNPI 1992290449
Title
Ceo
Phone
(217) 621-0766

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU
Registered Dietitian 133V00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

313 N Mattis Ave Ste 209
Champaign, IL 61821-2461

Mailing address

203 Flora Dr
Champaign, IL 61821-3212
Phone (217) 621-0766

National Provider Directory

National Provider Directory
Part of
KC Counseling LLC

Locations

313 N Mattis Ave
Ste 209
Champaign, IL 61821
Phone (217) 203-2008

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765584000000",
    "number": "1184412827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 FLORA DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213212",
            "telephone_number": "217-621-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N MATTIS AVE STE 209",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618212461",
            "telephone_number": "217-621-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC COUNSELING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KC COUNSELING LLC",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-621-0766",
        "authorized_official_credential": "LCSW, CEDS-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 13, 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.