Individual provider Active NPI

Harvey M Kelber, LCPC

  • Professional Counselor
  • Wilmette, IL
National Provider Identifier
1972798429
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
413 Brookside Dr
Wilmette, IL 60091-3048
Phone
(847) 323-7251
Fax
(847) 256-3741
NPI assigned
Sep 7, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

413 Brookside Dr
Wilmette, IL 60091-3048

Mailing address

413 Brookside Dr
Wilmette, IL 60091-3048
Phone (847) 323-7251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 2, 2024 through Apr 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180 000130ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Behavior Consultants Professional Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1972798429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BROOKSIDE DR",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913048",
            "telephone_number": "847-323-7251",
            "fax_number": "847-256-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BROOKSIDE DR",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913048",
            "telephone_number": "847-323-7251",
            "fax_number": "847-256-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELBER",
        "first_name": "HARVEY",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

Verify at the official NPI Registry.