Individual provider Active NPI

Kelly Jacobi, LPMT, MT-BC

  • Music Therapist
  • Palatine, IL
National Provider Identifier
1598567208
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
17273 Issued in PA
Practice address
909 E Kenilworth Ave
Palatine, IL 60074-6467
Phone
(224) 213-0568
NPI assigned
Mar 25, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 144.5 IL
Music Therapist 225A00000X 17273 PA Primary

Addresses

Primary practice location

909 E Kenilworth Ave
Palatine, IL 60074-6467

Mailing address

909 E Kenilworth Ave Unit 309
Palatine, IL 60074-6445
Phone (224) 213-0568

Other practice location 1

250 Water Stone Cir
Joliet, IL 60431-8313
Phone (815) 740-4104

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
144.5ILMDMusic Therapist
17273PAMDMusic Therapist

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1598567208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E KENILWORTH AVE UNIT 309",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746445",
            "telephone_number": "224-213-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E KENILWORTH AVE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746467",
            "telephone_number": "224-213-0568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Water Stone Cir",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604318313",
            "country_code": "US",
            "telephone_number": "815-740-4104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "KELLY",
        "credential": "LPMT, MT-BC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "IL",
            "license": "144.5",
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "PA",
            "license": "17273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.