NPIMap

Organization Active NPI

Abbie Kelley, LLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1386048825
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.007700 Issued in IL
Legal business name
ABBIE KELLEY, LLC
Practice address
2000 N Racine Ave
Suite 2184
Chicago, IL 60614-4045
Phone
(312) 485-3669
NPI assigned
Oct 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Abbie M Kelley, MA, LCPCNPI 1497021356
Title
Founder
Phone
(312) 485-3669

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180.007700 IL Primary

Addresses

Primary practice location

2000 N Racine Ave
Suite 2184
Chicago, IL 60614-4045

Mailing address

2000 N Racine Ave Ste 3300
Chicago, IL 60614-4045
Phone (773) 413-9523

Other names 1

  • AMK Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abbie Kelley LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2000 N Racine Ave
Ste 3300
Chicago, IL 60614
Phone (773) 413-9523

4621 N Ravenswood Ave
Chicago, IL 60640
Phone (312) 848-2761

Practitioners & affiliated clinicians

Practitioners 73

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

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1386048825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N RACINE AVE STE 3300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144045",
            "telephone_number": "773-413-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N RACINE AVE",
            "address_2": "SUITE 2184",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144045",
            "telephone_number": "312-485-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBIE KELLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "ABBIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "312-485-3669",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMK Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMK Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.