KELLY J LUCKEY LCPC
NPI 1063280048
Counselor - Mental Health in Bloomington, IL

Active since December 19, 2023
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701(888) 924-3786 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly J Luckey Lcpc NPPES

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

KELLY J LUCKEY LCPC (NPI 1063280048) is an individual mental health provider in Bloomington, Illinois, licensed in Illinois (180.002681) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1063280048
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY J LUCKEYCredential: LCPC
Location Address1003 MARTIN LUTHER KING DRBloomington, IL 61701-1429
Mailing Address448 Wylie DrNormal, IL 61761-5405 · (888) 924-3786
Sole ProprietorNo
Enumeration DateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
NPI 1063280048 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 · 180.002681
1003 MARTIN LUTHER KING DR, Bloomington, IL 61701

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.

Counselor (Professional)
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Counselor (Addiction (Substance Use Disorder))
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Social Worker (Clinical)
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Psychologist (Clinical)
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Counselor
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Counselor (Addiction (Substance Use Disorder))
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Clinic/Center (Mental Health (Including Community Mental Health Center))
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Social Worker
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701

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 Luckey's NPI number?

The NPI number for Kelly Luckey is 1063280048. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Where is Kelly Luckey located?

Kelly Luckey practices at 1003 Martin Luther King Dr, Bloomington, IL 61701. The listed phone number is (888) 924-3786.

What is Kelly Luckey'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 Luckey was last updated on December 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.