KILEY JO VANDERPORT BA
NPI 1174454672
Counselor - Mental Health in Mattoon, IL

Active since May 26, 2026
750 BROADWAY AVE E, MATTOON, IL 61938(217) 238-5700 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kiley Jo Vanderport Ba NPPES

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

KILEY JO VANDERPORT BA (NPI 1174454672) is an individual mental health provider in Mattoon, Illinois and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1174454672
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKILEY JO VANDERPORTCredential: BA
Location Address750 BROADWAY AVE EMattoon, IL 61938-4610
Mailing Address750 Broadway Ave EMattoon, IL 61938-4610 · (217) 238-5700
Sole ProprietorNo
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
NPI 1174454672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
750 BROADWAY AVE E, Mattoon, IL 61938

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
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Professional)
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938

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 Kiley Vanderport's NPI number?

The NPI number for Kiley Vanderport is 1174454672. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Kiley Vanderport located?

Kiley Vanderport practices at 750 Broadway Ave E, Mattoon, IL 61938. The listed phone number is (217) 238-5700.

What is Kiley Vanderport'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 Kiley Vanderport was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.