Active NPI
Kelsey Leigh Quade, LCPC
- Professional Counselor
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 115 Lincoln Place Court
Suite 102
Belleville, IL 62221 - Phone
- (252) 777-2387
- Fax
- (618) 416-1401
- NPI assigned
- Jul 17, 2014
- Last updated
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
115 Lincoln Place Court
Suite 102
Belleville, IL 62221
Mailing address
115 Lincoln Place Court
Suite 102
Belleville, IL 62221
Phone (252) 777-2387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
115 Lincoln Place CT
Suite 102
Belleville, IL 62221-5876
Phone (252) 777-2387
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Seasons Counseling | Current | Accepting new patients | |
| Kaleidoscope Heart Counseling, LLC | Professional | Current | Accepting new patients |
| St Louis Counseling Inc | Past | Accepting new patients | |
| Catholic Family Services Inc. | Past | Accepting new patients |
Locations
115 Lincoln Place Ct
Ste 102
Belleville, IL 62221
Phone (618) 722-9616
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Belleville, IL
- NPI 1255104212
-
- Professional Counselor
- Belleville, IL
- NPI 1376378562
-
dba Family Wellness Program
- Mental Health Counselor
- Union, MO
- NPI 1154480176
-
- Voluntary or Charitable Agency
- Fenton, MO
- NPI 1053397133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1942617394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 LINCOLN PLACE COURT",
"address_2": "SUITE 102",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "62221",
"telephone_number": "252-777-2387",
"fax_number": "618-416-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 LINCOLN PLACE COURT",
"address_2": "SUITE 102",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "62221",
"telephone_number": "252-777-2387",
"fax_number": "618-416-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUADE",
"first_name": "KELSEY",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
- Psychiatric Services of Southern Illinois, LLC
- Rhonda Pulver, P.A.
- Megan Clara Punches
- Pyrkia Health Services PLLC
- Robert Louis Quaas, M.D.
- Quality Comfort Home Care Inc
- Quality Comfort Home Care Inc (Quality Comfort Services LLC)
- Quality Comfort Services LLC
- Quest Diagnostics Clinical Lab Inc.
- R G Welch Neurology Consultant & Assoc LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.