Sloane M Kelly

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

11362 Country Club Rd
Lawrenceville, IL 62439-4325

Phone

(618) 943-3302

NPI assigned

Sep 26, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: skelly@lchealth.com

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1437873205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11362 COUNTRY CLUB RD",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624394325",
            "telephone_number": "618-943-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11362 COUNTRY CLUB RD",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624394325",
            "telephone_number": "618-943-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SLOANE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Skelly@lchealth.com",
            "affiliation": "N",
            "address_1": "11362 Country Club Rd",
            "city": "Lawrenceville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624394325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Jefferson
• Mikah Jenkins
• Matthew Jones
• Alexandria Paige Kauble
• Jamie Keepes, COTA/L
• Mark E Kennedy
• Logan Kermicle, LPN
• Samantha Kiser
• Heather Klein, LMT
• Cassandra Kohlhause

• Mental Health Counselor in Lawrenceville, IL
• Providers in Lawrenceville, 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 Sep 26, 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.