Christina Kelly

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-68543 Issued in NC

Practice address

5705 Willow Springs Rd
Countryside, IL 60525-3478

Phone

(312) 965-2997

NPI assigned

Oct 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Christy Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Early Autism Services, LLC

  • Behavior Analyst
  • Countryside, IL
  • NPI 1700130713
  NPD
• Hopebridge LLC

  • Occupational Therapist
  • Greeley, CO
  • NPI 1174193965
  NPD (past)

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1285398727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 WILLOW SPRINGS RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253478",
            "telephone_number": "312-965-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-23-68543",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "KELLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth J Joseph, BCBA
• Snjezana Jovanovic, PHARM.D.
• Kerri E Kabela, PT
• Janet Elaine Kanis, RN
• Athanasia Katsigiannis, LPC
• Paige Kessler
• Shannon King
• Rebecca Lynn Kinst, LPC, NCC
• Edward J Klutcharch, PSY.D.
• Richard Alan Kohn, DDS MS

• Behavior Analyst in Countryside, IL
• Providers in Countryside, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.