KELLY BAUMAN PSY.D
NPI 1174802730
Psychologist - Clinical in Crystal Lake, IL

Q: What is Kelly Bauman's NPI number?

The NPI number for Kelly Bauman is 1174802730. It was assigned to this individual provider in the NPPES registry on August 12, 2011.

Q: What is Kelly Bauman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Bauman was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 12, 2011PECOS EnrolledAccepts Medicare Assignment

457 COVENTRY LN STE 115, CRYSTAL LAKE, IL 60014(815) 245-4825(815) 596-1008 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2021, Oct 19, 2018, May 14, 2018 and 3 more (6 updates tracked since 2017).

On this page

About Kelly Bauman Psy.d NPPES

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

KELLY BAUMAN PSY.D (NPI 1174802730) is an individual clinical provider in Crystal Lake, Illinois, licensed in Illinois (071008887) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1174802730

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKELLY BAUMANCredential: PSY.D

Location Address457 COVENTRY LN STE 115Crystal Lake, IL 60014-7571

Mailing Address720 S Eastwood Dr Ste 166Woodstock, IL 60098-4635 · (815) 245-4825 · Fax (815) 596-1008

Phone(815) 245-4825

Fax(815) 596-1008

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateAugust 12, 2011

Last NPPES UpdateMay 21, 20216 updates tracked since enumeration

NPPES CertifiedMay 21, 2021

✔ NPI 1174802730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071008887

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 166.000207 (IL)

457 COVENTRY LN STE 115, Crystal Lake, IL 60014

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Secondary Practice Locations 2

Location 13703 Doty RdWoodstock, IL 60098-7517 · Phone (800) 765-9999 · Fax (815) 206-2822

Location 2360 Station Dr Ste 100Crystal Lake, IL 60014 · Phone (815) 338-6600 · Fax (815) 356-2324

Other Identifiers 2

Other166.000207IL · State License Number

Other071008887IL · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Bauman Psy.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274859277

PECOS Enrollment IDI20150311000286

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Bauman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bauman Psychotherapy Collaborations, LLC

Same address

Adult Mental Health

457 COVENTRY LN STE 115
Crystal Lake, IL 60014

Reassigned Medicare billing, Illinois enrollment

NPI 1235701905 (815) 245-4825

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

BAUMAN PSYCHOTHERAPY COLLABORATIONS, LLC

Clinic/Center (Adult Mental Health)

457 COVENTRY LN STE 115
CRYSTAL LAKE, IL 60014

McHenry County (815) 245-4825

HARMONY COUNSELING SERVICES LLC

Community/Behavioral Health

457 COVENTRY LN STE 115
CRYSTAL LAKE, IL 60014

McHenry County (815) 823-2299

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 Bauman's NPI number?

The NPI number for Kelly Bauman is 1174802730. It was assigned to this individual provider in the NPPES registry on August 12, 2011.

Where is Kelly Bauman located?

Kelly Bauman practices at 457 Coventry Ln Ste 115, Crystal Lake, IL 60014. The listed phone number is (815) 245-4825.

What is Kelly Bauman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelly Bauman enrolled in Medicare?

Yes. Kelly Bauman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Bauman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bauman reassigns Medicare benefits to Bauman Psychotherapy Collaborations, LLC (Crystal Lake, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Bauman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Bauman was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.