Individual provider Active NPI

Kelly L Beyer, LCPC

  • Mental Health Counselor
  • Naperville, IL
National Provider Identifier
1508591918
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180017870 Issued in IL
Practice address
1754 N Washington St Ste 104a
Naperville, IL 60563-1462
Phone
(630) 995-3193
Fax
(630) 912-0020
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180017870 IL Primary

Addresses

Primary practice location

1754 N Washington St Ste 104a
Naperville, IL 60563-1462

Mailing address

1754 N Washington St Ste 104a
Naperville, IL 60563-1462
Phone (630) 995-3193

Other practice location 1

2948 Artesian Rd Ste 112
Naperville, IL 60564-8559
Phone (888) 428-7890

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

LicenseStateTypeSpecialty
180017870ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Paths PLLC Mental Health Current Accepting new patients
Edgewood Clinical Services, P.C. Mental Health PastSince Jul 27, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1508591918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 N WASHINGTON ST STE 104A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631462",
            "telephone_number": "630-995-3193",
            "fax_number": "630-912-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 N WASHINGTON ST STE 104A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631462",
            "telephone_number": "630-995-3193",
            "fax_number": "630-912-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2948 Artesian Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605648559",
            "country_code": "US",
            "telephone_number": "888-428-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEYER",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180017870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; 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.