Kaylee Pavlik

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.021913 Issued in IL

Practice address

7621 Roosevelt Rd
Forest Park, IL 60130-2212

Phone

(773) 234-0423

NPI assigned

Aug 7, 2025

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Calm Mind Counseling Center, PLLC

  • Mental Health Counselor
  • Forest Park, IL
  • NPI 1790333938
  NPD

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1225913411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9744 S TURNER AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053051",
            "telephone_number": "708-420-4365",
            "fax_number": "708-420-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7621 ROOSEVELT RD",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302212",
            "telephone_number": "773-234-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLIK",
        "first_name": "KAYLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.021913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panicker Optometry LLC
• Brent A Panno, OT
• Francis Pascual
• Stuti Patel
• Jamie M Pautsch, OT
• Tamara Payne-Douglas
• Elizabeth Ann Perez
• Lisa J Peters, MD
• Connie J Pfiffner, LCSW
• Panom Phoungcherdchoo, M.D.

• Mental Health Counselor in Forest Park, IL
• Providers in Forest Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.