Active NPI
Keri Bechelli, LPC
- Professional Counselor
- Gurnee, IL
National Provider Identifier
1336532589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178004575
- Practice address
- 1125 Tri State Pkwy
Ste 720
Gurnee, IL 60031-9177 - Phone
- (847) 245-6587
- NPI assigned
- Mar 12, 2015
- Last updated
- Mar 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178004575 | IL | Primary |
Addresses
Primary practice location
1125 Tri State Pkwy
Ste 720
Gurnee, IL 60031-9177
Mailing address
25404 W Chesney Dr
Lake Villa, IL 60046-9714
Phone (847) 644-7022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178004575 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1336532589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25404 W CHESNEY DR",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600469714",
"telephone_number": "847-644-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 TRI STATE PKWY",
"address_2": "STE 720",
"city": "GURNEE",
"state": "IL",
"postal_code": "600319177",
"telephone_number": "847-245-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECHELLI",
"first_name": "KERI",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178004575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.