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KELSEY JEANETTE DIEDERICH LSW
NPI 1043862295
Counselor - Mental Health in Chicago, IL

Active since July 09, 2019
304 N LOOMIS ST, CHICAGO, IL 60607(312) 243-8487 Get Directions Write a Review

NPPES record last updated: December 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2022, Nov 3, 2022, Jul 9, 2019 (3 updates tracked since 2019).

About Kelsey Jeanette Diederich Lsw NPPES

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

KELSEY JEANETTE DIEDERICH LSW (NPI 1043862295) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since July 2019. She maintains a secondary practice location in Melrose Park.

NPPES Registry Identity

NPI1043862295
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELSEY JEANETTE DIEDERICHCredential: LSW
Location Address304 N LOOMIS STChicago, IL 60607-1147
Mailing Address304 N Loomis StChicago, IL 60607-1147 · (312) 243-8487
Phone(312) 243-8487
Sole ProprietorYes
Enumeration DateJuly 9, 2019
Last NPPES UpdateDecember 4, 20223 updates tracked since enumeration
NPPES CertifiedDecember 4, 2022
✔ NPI 1043862295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
304 N LOOMIS ST, Chicago, IL 60607
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Secondary Practice Location 1

Location 11414 Main StMelrose Park, IL 60160-3902 · Phone (708) 681-0073

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

MS. BRANDI ROSE MERTIG M.S., CCC-SLP
Speech-Language Pathologist
304 N LOOMIS ST
CHICAGO, IL 60607
Cook County (312) 243-8487
LASHYIA NORWOOD
Behavior Technician
304 N LOOMIS ST
CHICAGO, IL 60607
Cook County (312) 243-8487
MIRELY MURCIO OTD, OTR/L
Occupational Therapist
304 N LOOMIS ST
CHICAGO, IL 60607
Cook County (312) 243-8487
GEMMA HAMM
Social Worker
304 N LOOMIS ST
CHICAGO, IL 60607
Cook County (312) 243-8487
GUADALUPE RAMIREZ
Behavior Analyst
304 N LOOMIS ST
CHICAGO, IL 60607
Cook County (312) 243-8487
MS. ELLEIS MIRANDA BS
Developmental Therapist
304 N LOOMIS ST
CHICAGO, IL 60607
Cook County (312) 243-8487
AUTUMN RASMUSSEN BCBA
Behavior Analyst
304 N LOOMIS ST
CHICAGO, IL 60607
Cook County (312) 243-8487
SHANNON BARBOUR
Behavior Analyst
304 N LOOMIS ST
CHICAGO, IL 60607
Cook County (312) 243-8487

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 Kelsey Diederich's NPI number?

The NPI number for Kelsey Diederich is 1043862295. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Kelsey Diederich located?

Kelsey Diederich practices at 304 N Loomis St, Chicago, IL 60607. The listed phone number is (312) 243-8487.

What is Kelsey Diederich'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 Kelsey Diederich was last updated on December 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.