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MR. BRIAN LEE KELLEY LCPC
NPI 1003191990
Counselor - Professional in Evergreen Park, IL

Active since October 11, 2011
3317 W 95TH ST, EVERGREEN PARK, IL 60805(708) 529-3011 Get Directions Write a Review

NPPES record last updated: January 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2021, Jan 2, 2021 (2 updates tracked since 2021).

About Mr. Brian Lee Kelley Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRIAN LEE KELLEY LCPC (NPI 1003191990) is an individual professional provider in Evergreen Park, Illinois, licensed in Illinois (180007807) and active in the NPI registry since October 2011. He maintains a secondary practice location in Tinley Park.

NPPES Registry Identity

NPI1003191990
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRIAN LEE KELLEYCredential: LCPC
Location Address3317 W 95TH STEvergreen Park, IL 60805-2243
Mailing Address10s141 Suffield DrDowners Grove, IL 60516-5184 · (773) 316-8697
Phone(708) 529-3011
Sole ProprietorNo
Enumeration DateOctober 11, 2011
Last NPPES UpdateJanuary 24, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2021
✔ NPI 1003191990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180007807
3317 W 95TH ST, Evergreen Park, IL 60805
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Secondary Practice Location 1

Location 116547 Oak Park AveTinley Park, IL 60477-1752 · Phone (708) 633-9003

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHAUNTE WILDER
Counselor (Professional)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 529-3011
MRS. VICTORIA LOUISE MCANDREW LPC
Counselor (Professional)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 634-6734
MISS NAOMI MARIE LEDEZMA MA
Counselor (Mental Health)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 529-3011
MATTHEW LIESER
Counselor (Professional)
3317 W 95TH ST, SUITE 101
EVERGREEN PARK, IL 60805
Cook County (708) 466-2075
MRS. MICHELLE MARIE KELLER
Counselor (Mental Health)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 529-3011
MR. LESLIE E GRANGE LPC
Counselor
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 381-1176
MS. JANICE M FRUM LPC, NCC
Counselor (Professional)
3317 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (630) 715-7047
KATHY ABBOTT PSYD PC
Psychologist (Clinical)
3317 W 95TH ST, STE 205
EVERGREEN PARK, IL 60805
Cook County (773) 807-0936

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Kelley's NPI number?

The NPI number for Brian Kelley is 1003191990. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is Brian Kelley located?

Brian Kelley practices at 3317 W 95th St, Evergreen Park, IL 60805. The listed phone number is (708) 529-3011.

What is Brian Kelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Brian Kelley was last updated on January 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.