Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003191990 Individual Practitioner Male Practitioner

Brian Lee Kelley , LCPC

Counselor - Professional • Evergreen Park, IL

Professional Overview & Biography Verified Profile Summary

Brian Kelley, LCPC is a registered healthcare professional specializing in Counselor - Professional in Evergreen Park, IL. Practice services are available at 3317 W 95TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3317 W 95th St

Evergreen Park, IL 608052243

Telephone 7085293011
Associated Practice Facility / Clinic
🏢 Kathy Abbott Psyd Pc Facility NPI 1326113838

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Evergreen Park, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
37 Specialists

Practicing in Evergreen Park, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180007807

Definition to come...

Secondary Practice Locations

16547 Oak Park Ave

Tinley Park, IL 604771752

Phone: 7086339003

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Chaunte Wilder

Counselor - Professional

NPI 1063078947
Naomi Ledezma , MA

Counselor - Mental Health

NPI 1154103455

Master of Arts

Michael Anderson , LPC

Counselor - Professional

NPI 1245842814

Licensed Professional Counselor

Michelle Keller

Counselor - Mental Health

NPI 1295273852
Deona Brooks , LPC

Counselor - Mental Health

NPI 1306517461

Licensed Professional Counselor

Tamara Arnold

Counselor

NPI 1306701339

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address January 24, 2021

Registered at 10S141 SUFFIELD DR, DOWNERS GROVE, IL 605165184 (Tel: 7733168697)

📍
Updated Practice Location January 02, 2021

Registered at 3317 W 95TH ST, EVERGREEN PARK, IL 608052243 (Tel: 7085293011)

NPI Profile Active October 11, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2011

Registered at 16547 OAK PARK AVE, TINLEY PARK, IL 604771752 (Tel: 7086339003)

📍
Updated Business Mailing Address October 11, 2011

Registered at 6830 W WINDING TRL, UNIT 204, OAK FOREST, IL 604525215 (Tel: 7733168697)

👤
Provider Name / Credentials Updated October 11, 2011

Recorded as BRIAN KELLEY, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2011

Counselor (License #180007807 in IL)

🟢
Initial NPI Registration & Enumeration October 11, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Brian Kelley. Be the first to share your experience!

Sign in to leave a review for Brian Kelley

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003191990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2011
Last Update: January 24, 2021
Sole Proprietor: No

Mailing Address

10s141 Suffield Dr

Downers Grove, IL 605165184

Phone: 7733168697

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.