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KC EATING DISORDER CLINIC PLLC
NPI 1326927971
Clinic/Center in Champaign, IL

Active since August 28, 2025
313 N MATTIS AVE, CHAMPAIGN, IL 61821(217) 377-0299 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kc Eating Disorder Clinic Pllc NPPES

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

KC EATING DISORDER CLINIC PLLC (NPI 1326927971) is a healthcare organization registered as a clinic/center in Champaign, Illinois and active in the NPI registry since August 2025. The organization lists Kaitlyn Cornell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326927971
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKC EATING DISORDER CLINIC PLLC
Location Address313 N MATTIS AVEChampaign, IL 61821-2460
Mailing Address203 Flora DrChampaign, IL 61821-3212 · (217) 621-0766
Phone(217) 377-0299
Organization SubpartNo
Authorized OfficialKaitlyn CornellCeo · (217) 621-0766
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1326927971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
313 N MATTIS AVE, Champaign, IL 61821
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

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

MR. BRADLEY CARLYLE GOBEN MA LCPC
Counselor (Professional)
313 N MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 348-1086
DR. WILLIAM ANDREW HOGAN PHD
Counselor (Professional)
313 N MATTIS AVE, SUITE 205
CHAMPAIGN, IL 61821
Champaign County (217) 348-1086
MIDWEST NEUROFITNESS
Counselor (Professional)
313 N MATTIS AVE, SUITE 205
CHAMPAIGN, IL 61821
Champaign County (217) 348-1086
SARAH L OLSON LCSW
Social Worker (Clinical)
313 N MATTIS AVE, STE 209
CHAMPAIGN, IL 61821
Champaign County (217) 398-9066
ABC COUNSELING AND FAMILY SERVICES
Social Worker (Clinical)
313 N MATTIS AVE, SUITE 115
CHAMPAIGN, IL 61821
Champaign County (217) 403-0790

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 Kc Eating Disorder Clinic PLLC's NPI number?

The NPI number for Kc Eating Disorder Clinic PLLC is 1326927971. It was assigned to this organization in the NPPES registry on August 28, 2025.

Where is Kc Eating Disorder Clinic PLLC located?

Kc Eating Disorder Clinic PLLC is located at 313 N Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 377-0299.

What is Kc Eating Disorder Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kc Eating Disorder Clinic PLLC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.