Bernadette Kelly LCPC PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BERNADETTE KELLY LCPC PLLC

Practice address

661 W Lake St Ste 2S
Chicago, IL 60661-1034

Phone

(312) 379-9543

NPI assigned

Sep 6, 2022

Organization subpart

No

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

Authorized official

Name

Bernadette Jean KellyNPI 1518553544

Title

Therapist

Phone

(708) 491-6185

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernadette Jean Kelly

  • Counselor
  • Chicago, IL
  • NPI 1518553544
  NPD Authorized official

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1912628124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 W LAKE ST STE 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611034",
            "telephone_number": "312-379-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W LAKE ST STE 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611034",
            "telephone_number": "312-379-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNADETTE KELLY LCPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "708-491-6185"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximo Bermudez, MD
• Mayela Bermudez, FNP
• Penelope Bermudez
• Abigail Bernabe Soto
• Bernadette B Mayer MD SC
• Aaron Michael Bernal
• Beatriz Bernal
• Vivian A Bernal, OT
• Alyssa Gail Bernanke, MD/PHD
• Adam Bernard, BA

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.