KENYA KELLY BS
NPI 1013899574
Counselor - Addiction (Substance Use Disorder) in Champaign, IL

Active since July 24, 2025
106 S COUNTRY FAIR DR, CHAMPAIGN, IL 61821(217) 255-3922 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenya Kelly Bs NPPES

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

KENYA KELLY BS (NPI 1013899574) is an individual addiction (substance use disorder) provider in Champaign, Illinois and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1013899574
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKENYA KELLYCredential: BS
Location Address106 S COUNTRY FAIR DRChampaign, IL 61821-3063
Mailing Address106 S Country Fair DrChampaign, IL 61821-3063 · (217) 255-3922
Sole ProprietorYes
Enumeration DateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
NPI 1013899574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
106 S COUNTRY FAIR DR, Champaign, IL 61821

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
106 S COUNTRY FAIR DR
CHAMPAIGN, IL 61821

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 Kenya Kelly's NPI number?

The NPI number for Kenya Kelly is 1013899574. It was assigned to this individual provider in the NPPES registry on July 24, 2025.

Where is Kenya Kelly located?

Kenya Kelly practices at 106 S Country Fair Dr, Champaign, IL 61821. The listed phone number is (217) 255-3922.

What is Kenya Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kenya Kelly was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.