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MRS. KERRY LYNN O'DONNELL LPC
NPI 1417333287
Counselor - Professional in Aurora, IL

Active since August 04, 2015PECOS Enrolled
412 N LAKE ST, SUITE 204, AURORA, IL 60506(630) 292-3815(630) 896-3515 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kerry Lynn O'donnell Lpc NPPES

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

MRS. KERRY LYNN O'DONNELL LPC (NPI 1417333287) is an individual professional provider in Aurora, Illinois, licensed in Illinois (178.011125) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417333287
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KERRY LYNN O'DONNELLCredential: LPC
Location Address412 N LAKE ST, SUITE 204Aurora, IL 60506-4106
Mailing Address412 N Lake StAurora, IL 60506-4106 · (630) 896-2337 · Fax (630) 896-3515
Phone(630) 292-3815
Fax(630) 896-3515
Sole ProprietorNo
Enumeration DateAugust 4, 2015
✔ NPI 1417333287 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 · 178.011125
412 N LAKE ST, Aurora, IL 60506
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kerry Lynn O'donnell Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 10

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

MR. LOUIS E HUTCHES LCPC
Counselor
412 N LAKE ST
AURORA, IL 60506
Kane County (630) 303-6563
SUSAN MARY KINSMAN LCPC
Counselor (Mental Health)
412 N LAKE ST
AURORA, IL 60506
Kane County (630) 947-2800
MONICA SISCO LCSW
Counselor (Mental Health)
412 N LAKE ST
AURORA, IL 60506
Kane County (630) 518-2717
DR. CHARLOTTE ANN DILLON PH.D.
Psychologist (Clinical)
412 N LAKE ST, SUITE 204 GATEWAY PROFESSIONAL SERVICES
AURORA, IL 60506
Kane County (630) 896-2337
TIFFANY E GREEN MAPC
Counselor (Professional)
412 N LAKE ST
AURORA, IL 60506
Kane County (630) 896-2337
INNER HARMONY ACUPUNCTURE
Clinic/Center
412 N LAKE ST
AURORA, IL 60506
Kane County (630) 605-9244
GATEWAY PSYCHOLOGICAL SERVICES, LTD
Psychologist (Clinical)
412 N LAKE ST, SUITE 204
AURORA, IL 60506
Kane County (630) 896-2337
MS. MAVIS A. BATES L. AC.
Acupuncturist
412 N LAKE ST
AURORA, IL 60506
Kane County (630) 605-9244

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 Kerry O'donnell's NPI number?

The NPI number for Kerry O'donnell is 1417333287. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Kerry O'donnell located?

Kerry O'donnell practices at 412 N Lake St Suite 204, Aurora, IL 60506. The listed phone number is (630) 292-3815.

What is Kerry O'donnell's specialty?

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

Is Kerry O'donnell enrolled in Medicare?

Yes. Kerry O'donnell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerry O'donnell was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.