DR. KELLY ANN CHANEY ED.D
NPI 1003699570
Counselor - Professional in Chicago, IL

Q: What is Kelly Chaney's NPI number?

The NPI number for Kelly Chaney is 1003699570. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Q: What is Kelly Chaney's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Chaney 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 August 17, 2023PECOS Enrolled

6415 S CAMPBELL AVE, CHICAGO, IL 60629(773) 310-4736 Get Directions Write a Review

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

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About Dr. Kelly Ann Chaney Ed.d NPPES

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

DR. KELLY ANN CHANEY ED.D (NPI 1003699570) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180015467) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003699570

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDR. KELLY ANN CHANEYCredential: ED.D

Location Address6415 S CAMPBELL AVEChicago, IL 60629-1306

Mailing Address6415 S Campbell AveChicago, IL 60629-1306 · (773) 310-4736

Phone(773) 310-4736

Sole ProprietorYes

Enumeration DateAugust 17, 2023

NPPES CertifiedAugust 17, 2023

✔ NPI 1003699570 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 · 180015467

6415 S CAMPBELL AVE, Chicago, IL 60629

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Ann Chaney Ed.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Chaney's NPI number?

The NPI number for Kelly Chaney is 1003699570. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Where is Kelly Chaney located?

Kelly Chaney practices at 6415 S Campbell Ave, Chicago, IL 60629. The listed phone number is (773) 310-4736.

What is Kelly Chaney's specialty?

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

Is Kelly Chaney enrolled in Medicare?

Yes. Kelly Chaney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Chaney 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.