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CLARENCE AARON KELLY LPC
NPI 1205529120
Counselor - Mental Health in Chicago, IL

Active since May 26, 2023
4423 N RAVENSWOOD AVE, CHICAGO, IL 60640(773) 537-3614 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clarence Aaron Kelly Lpc NPPES

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

CLARENCE AARON KELLY LPC (NPI 1205529120) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (178018930) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1205529120
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCLARENCE AARON KELLYCredential: LPC
Location Address4423 N RAVENSWOOD AVEChicago, IL 60640-5802
Mailing Address4423 N Ravenswood AveChicago, IL 60640-5802 · (773) 537-3614
Phone(773) 537-3614
Sole ProprietorNo
Enumeration DateMay 26, 2023
NPPES CertifiedMay 26, 2023
✔ NPI 1205529120 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 · 178018930
4423 N RAVENSWOOD AVE, Chicago, IL 60640
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Other Providers at the Same Location NPPES 17

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

DR. EDDIE DYON BURKS PSYD, MED
Psychologist
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (847) 370-0700
KIMBEAU ELLEN ROSENKRANZ
Marriage & Family Therapist
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 572-5400
SAMANTHA JOY ETSCHEID RN
Registered Nurse
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 572-5400
HEATHER WATSON LCSW
Social Worker (Clinical)
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 537-3036
THE THRESHOLDS
Clinic/Center (Mental Health (Including Community Mental Health Center))
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 572-5500
MORGAN GASPARD LCPC
Counselor (Mental Health)
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 432-6343
RUTH A WOROCH N.P.
Nurse Practitioner
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 432-6570
THE THRESHOLDS
Clinic/Center (Rehabilitation, Substance Use Disorder)
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 572-5500

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 Clarence Kelly's NPI number?

The NPI number for Clarence Kelly is 1205529120. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Clarence Kelly located?

Clarence Kelly practices at 4423 N Ravenswood Ave, Chicago, IL 60640. The listed phone number is (773) 537-3614.

What is Clarence Kelly'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 Clarence Kelly was last updated on May 26, 2023. 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.