Kelly Baker Tyson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178033381 Issued in IL

Practice address

175 E Hawthorn Pkwy Ste 155
Vernon Hills, IL 60061-1493

Phone

(847) 847-4977

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 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

• Kelly Baker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1922912468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 SHAMBLISS CT",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891247",
            "telephone_number": "847-847-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E HAWTHORN PKWY STE 155",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611493",
            "telephone_number": "847-847-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER TYSON",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178033381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Ayala
• Elizabeth Ayers, OTD, OTR/L
• Teresa Bae, DMD
• Charles J Bagdade, D.D.S.
• Hayder F. Bahrani, D.D.S.
• Howard R Baker, D.O.
• Justin Baker
• Fadi Bakhos
• Amanda Bakken, CNM
• Balanced Psychiatry, LLC

• Mental Health Counselor in Vernon Hills, IL
• Providers in Vernon Hills, 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 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.