MS. KELLY LYNNE CANAVAN LCPC
NPI 1003221045
Counselor - Mental Health in Crystal Lake, IL

Q: What is Kelly Canavan's NPI number?

The NPI number for Kelly Canavan is 1003221045. It was assigned to this individual provider in the NPPES registry on June 28, 2014.

Q: What is Kelly Canavan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Canavan was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 28, 2014

650 E TERRA COTTA AVENUE, UNIT 103, CRYSTAL LAKE, IL 60014(815) 979-2580(815) 354-3517 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Kelly Lynne Canavan Lcpc NPPES

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

MS. KELLY LYNNE CANAVAN LCPC (NPI 1003221045) is an individual mental health provider in Crystal Lake, Illinois, licensed in Illinois (180.009124) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1003221045

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. KELLY LYNNE CANAVANCredential: LCPC

Location Address650 E TERRA COTTA AVENUE, UNIT 103Crystal Lake, IL 60014-3654

Mailing Address650 E Terra Cotta Avenue, Unit 103Crystal Lake, IL 60014-3654 · (815) 979-2580 · Fax (815) 354-3517

Phone(815) 979-2580

Fax(815) 354-3517

Sole ProprietorNo

Enumeration DateJune 28, 2014

Last NPPES UpdateAugust 17, 2023

✔ NPI 1003221045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180.009124

650 E TERRA COTTA AVENUE, Crystal Lake, IL 60014

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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 Kelly Canavan's NPI number?

The NPI number for Kelly Canavan is 1003221045. It was assigned to this individual provider in the NPPES registry on June 28, 2014.

Where is Kelly Canavan located?

Kelly Canavan practices at 650 E Terra Cotta Avenue Unit 103, Crystal Lake, IL 60014. The listed phone number is (815) 979-2580.

What is Kelly Canavan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Canavan was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.