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KELLEN M CARTER
NPI 1356167340
Counselor - Mental Health in Bloomington, IL

Active since November 25, 2024
108 W MARKET ST, BLOOMINGTON, IL 61701(309) 827-5351(309) 829-6808 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellen M Carter NPPES

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

KELLEN M CARTER (NPI 1356167340) is an individual mental health provider in Bloomington, Illinois and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1356167340
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKELLEN M CARTER
Location Address108 W MARKET STBloomington, IL 61701-3918
Mailing Address108 W Market StBloomington, IL 61701-3918 · (309) 827-5351 · Fax (309) 829-6808
Phone(309) 827-5351
Fax(309) 829-6808
Sole ProprietorYes
Enumeration DateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1356167340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
108 W MARKET ST, Bloomington, IL 61701
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Other Names 1

Former Name (1)Katelyn M Carter

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.

THERESA KAUTH
Nurse Practitioner (Family)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
TIMOTHY ROBERT WRIGHT
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
BRYNNA A PORCH
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
MR. JOSHUA BECKWITH
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
BRIDGET W MWAURA
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
JOANNE LILLIAN MECHERLE
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
KEVIN PETER CRUTCHER
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
DEAN CONSTANTOPALOS
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351

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 Kellen Carter's NPI number?

The NPI number for Kellen Carter is 1356167340. It was assigned to this individual provider in the NPPES registry on November 25, 2024. The provider is also known as Katelyn M Carter.

Where is Kellen Carter located?

Kellen Carter practices at 108 W Market St, Bloomington, IL 61701. The listed phone number is (309) 827-5351.

What is Kellen Carter'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 Kellen Carter was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.