Kelly Nichole Eckhart, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.034966 Issued in IL

Practice address

600 W Grand Ave
Lake Villa, IL 60046-8034

Phone

(847) 245-6262

Fax

(847) 356-0364

NPI assigned

Jul 19, 2016

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

• Kelly Eckhart Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1902259542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23870 W TOWNLINE RD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600309764",
            "telephone_number": "847-609-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W GRAND AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468034",
            "telephone_number": "847-245-6262",
            "fax_number": "847-356-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHART",
        "first_name": "KELLY",
        "middle_name": "NICHOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.034966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "ECKHART",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Jacklyn Louise Durnil, M.S., CCC-SLP
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• Elizabeth Ericksen, LPC
• Eugene Pomeranets M.D.S.C.,
• Family Care of Lake County S.C.

• Psychiatric/Mental Health Nurse Practitioner in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

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