NPIMap

Organization Active NPI

Kevin Elliott Counseling PC

  • Mental Health Counselor
  • Urbana, IL
National Provider Identifier
1255357422
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180003499 Issued in IL
Legal business name
KEVIN ELLIOTT COUNSELING PC
Practice address
2001 Philo Rd
Urbana, IL 61802-8007
Phone
(217) 398-9066
Fax
(217) 398-9077
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Mr. Kevin Elliott, MA. LCPCNPI 1982618526
Title
President
Phone
(217) 398-9066

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: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180003499 IL Primary

Addresses

Primary practice location

2001 Philo Rd
Urbana, IL 61802-8007

Mailing address

44 E Main St
Ste. 406
Champaign, IL 61820-3636
Phone (217) 398-9066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061019000433 IL Part B Supplier - Clinic/Group Practice 0143226860 Receives reassigned benefits from 25 practitioners
Practice locations: Champaign, IL; Urbana, IL; Mattoon, IL; Tuscola, IL

National Provider Directory

National Provider Directory
Tax ID family
Kevin Elliott Counseling PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

309 W Clark St
Champaign, IL 61820
Phone (217) 552-1211

201 Lincoln Sq
Ste 154A
Urbana, IL 61801
Phone (217) 552-1211

300 S Broadway Ave
#154A
Urbana, IL 61801

201 Lincoln Sq
#154A
Urbana, IL 61801
Phone (217) 552-1211

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1255357422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E MAIN ST",
            "address_2": "STE. 406",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203636",
            "telephone_number": "217-398-9066",
            "fax_number": "217-398-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PHILO RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618028007",
            "telephone_number": "217-398-9066",
            "fax_number": "217-398-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN ELLIOTT COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-398-9066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA. LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180003499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.