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MRS. KELLY LAPORTE M.A, L.P.C., C.A.D.C
NPI 1235408618
Counselor - Professional in Park Ridge, IL

Active since December 14, 2011Opted out of Medicare · through Jan 31, 2028
36 MAIN ST, SUITE 106, PARK RIDGE, IL 60068(708) 601-1185(888) 440-2577 Get Directions Write a Review

NPPES record last updated: December 14, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Kelly Laporte M.a, L.p.c., C.a.d.c NPPES

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

MRS. KELLY LAPORTE M.A, L.P.C., C.A.D.C (NPI 1235408618) is an individual professional provider in Park Ridge, Illinois, licensed in Illinois (178.007762) and active in the NPI registry since December 2011. She has opted out of Medicare through January 31, 2028.

NPPES Registry Identity

NPI1235408618
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KELLY LAPORTECredential: M.A, L.P.C., C.A.D.C
Location Address36 MAIN ST, SUITE 106Park Ridge, IL 60068-4059
Mailing Address36 Main St, Suite 106Park Ridge, IL 60068-4059 · (708) 601-1185 · Fax (888) 440-2577
Phone(708) 601-1185
Fax(888) 440-2577
Sole ProprietorYes
Enumeration DateDecember 14, 2011
✔ NPI 1235408618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.007762
36 MAIN ST, Park Ridge, IL 60068
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Kelly Laporte M.a, L.p.c., C.a.d.c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2024 through January 31, 2028.

Opt-Out Effective DateJanuary 31, 2024
Opt-Out In Effect ThroughJanuary 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

MRS. ALEXIS G MURRAY-GOLAY LCPC
Counselor (Professional)
36 MAIN ST, PARK RIDGE PSYCHOLOGICAL SERVICES
PARK RIDGE, IL 60068
Cook County (847) 692-6692
DR. DATHAN A. PATERNO PSY.D.
Psychologist (Clinical)
36 MAIN ST, SUITE 106
PARK RIDGE, IL 60068
Cook County (847) 692-6692
MARY ANASTASI LCSW, PHD
Social Worker (Clinical)
36 MAIN ST
PARK RIDGE, IL 60068
Cook County (512) 788-3837
PARK RIDGE PSYCHOLOGICAL SERVICES, LTD
Psychologist (Clinical)
36 MAIN ST
PARK RIDGE, IL 60068
Cook County (847) 692-6692
DYANNE CYNTHIA BRESLER LCPC
Counselor (Professional)
36 MAIN ST, 106B
PARK RIDGE, IL 60068
Cook County (847) 692-6692
MR. RYAN JOSEPH SHUDA M.A., LPC
Counselor (Mental Health)
36 MAIN ST
PARK RIDGE, IL 60068
Cook County (847) 692-6692
OT LAURA LLC
Occupational Therapist
36 MAIN ST
PARK RIDGE, IL 60068
Cook County (847) 692-6692
ILANA GROSS PSYD
Psychologist (Clinical)
36 MAIN ST
PARK RIDGE, IL 60068
Cook County (847) 692-6692

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 Laporte's NPI number?

The NPI number for Kelly Laporte is 1235408618. It was assigned to this individual provider in the NPPES registry on December 14, 2011.

Where is Kelly Laporte located?

Kelly Laporte practices at 36 Main St Suite 106, Park Ridge, IL 60068. The listed phone number is (708) 601-1185.

What is Kelly Laporte's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Laporte enrolled in Medicare?

No. Kelly Laporte has opted out of Medicare through January 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelly Laporte was last updated on December 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.