Patrick Daniel Kelley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180015538 Issued in IL

Practice address

650 E Algonquin Rd Ste 108
Schaumburg, IL 60173-3853

Phone

(847) 221-5622

Fax

(847) 221-5688

NPI assigned

Apr 27, 2024

Sex

Male

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

Practice roles

Locations

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.

• Bza Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Schaumburg, IL
  • NPI 1326307075
  NPD

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1497501753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E ALGONQUIN RD STE 108",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601733853",
            "telephone_number": "847-221-5622",
            "fax_number": "847-221-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E ALGONQUIN RD STE 108",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601733853",
            "telephone_number": "847-221-5622",
            "fax_number": "847-221-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "PATRICK",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180015538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Lyle Kearns, D.C.
• Armanda Keci
• John Berning Keehan, D.D.S.
• Benjamin Christopher Keeling, BA
• Lacee A Keller, PA-C
• Mary B Kelly, PT
• Paige Kelly
• Kenig All Rounded Wellness LLC
• Janice L. Kennel Ropp, L.C.P.C.
• Patrick J Kennelly, PHD

• All providers in Schaumburg, IL
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.