Kaitlyn Van Pelt

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

11766 N County Highway 9
Lewistown, IL 61542-9032

Phone

(309) 251-5710

NPI assigned

Aug 14, 2026

Last updated

Aug 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitie Van Pelt Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1669387874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11766 N COUNTY HIGHWAY 9",
            "city": "LEWISTOWN",
            "state": "IL",
            "postal_code": "615429032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11766 N COUNTY HIGHWAY 9",
            "city": "LEWISTOWN",
            "state": "IL",
            "postal_code": "615429032",
            "telephone_number": "309-251-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PELT",
        "first_name": "KAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITIE",
            "last_name": "VAN PELT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Prairie View Care Center of Lewistown
• Prairie View Care Center of Lewistown, Inc
• Jesse J Stinauer, D.M.D.
• Pamela Jo Tippey-Herrick, LCPC
• Sabrina Leanne Turner, L.P.C.
• Kylee Marie Weaver, FNP

• School Psychologist in Lewistown, IL
• Providers in Lewistown, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.