Organization Active NPI

Kevin Elliott Counseling, PC

  • Professional Counselor
  • Urbana, IL
National Provider Identifier
1679937460
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.004442 Issued in IL
Legal business name
KEVIN ELLIOTT COUNSELING, PC
Practice address
2001 Philo Rd
Urbana, IL 61802-8007
Phone
(217) 398-9066
Fax
(217) 398-9077
NPI assigned
Apr 8, 2016
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Melanie Hoogstraat
Title
Credentialing Specialist
Phone
(217) 398-9066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.004442 IL Primary

Addresses

Primary practice location

2001 Philo Rd
Urbana, IL 61802-8007

Mailing address

2001 Philo Rd
Urbana, IL 61802-8007
Phone (217) 398-9066

National Provider Directory

National Provider Directory
Tax ID family
Kevin Elliott Counseling PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2001 Philo Rd
Urbana, IL 61802
Phone (217) 552-1211

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1679937460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PHILO RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618028007",
            "telephone_number": "217-398-9066",
            "fax_number": "217-398-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PHILO RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618028007",
            "telephone_number": "217-398-9066",
            "fax_number": "217-398-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN ELLIOTT COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "HOOGSTRAAT",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "217-398-9066"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.004442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.