Catherine Ann Kelly, LPC, ATR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178014982 Issued in IL

Practice address

478 Pennsylvania Ave Ste 302
Glen Ellyn, IL 60137-4425

Phone

(708) 274-7289

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

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

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1427772532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31W755 ARMY TRAIL RD",
            "city": "WAYNE",
            "state": "IL",
            "postal_code": "601842153",
            "telephone_number": "630-849-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 PENNSYLVANIA AVE STE 302",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374425",
            "telephone_number": "708-274-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "LPC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178014982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen T. Watkins & Associates Inc.
• Yasir Kazmi, MD
• Susan Elizabeth Kelenyi, D.C.
• Marissa Elaine Kelley, RD, CDCES, NBC-HWC
• Rhonda K Kelloway, LCSW
• James Michael Kelly, O.D.
• Brenda Kendziera, LPC
• Robert Joseph Kennedy
• Danielle Ann Kerger, D.D.S.
• Lana Kesic

• Mental Health Counselor in Glen Ellyn, IL
• Providers in Glen Ellyn, 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 Oct 3, 2022; 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.