Kelley Oldham Counseling Group

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KELLEY OLDHAM COUNSELING GROUP

Practice address

4201 N Damen Ave
Chicago, IL 60618-3021

Phone

(847) 208-7873

NPI assigned

Nov 9, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Kelley Oldham, LCPC

Title

Therapist/Owner

Phone

(847) 208-7873

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1528536356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181719",
            "telephone_number": "847-208-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183021",
            "telephone_number": "847-208-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY OLDHAM COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "847-208-7873",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen T Keller
• Sarri Ann Keller, M.S. CCC-SLP/L
• Sydney Keller
• Stacye Kellermann
• Margaret Kellett, PT
• Mikale Kelley-Ross
• Abbie Kelley
• Anisa Kelley, MD
• Anthony Kelley, DC
• Casey Kelley, MD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.