KELLIE CALDERON
NPI 1417490681
Counselor - Mental Health in Homer Glen, IL

Active since November 21, 2016
14007 S BELL RD STE 183, HOMER GLEN, IL 60491(708) 553-0602 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2020, Aug 14, 2018, Nov 21, 2016 (3 updates tracked since 2016).

About Kellie Calderon NPPES

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

KELLIE CALDERON (NPI 1417490681) is an individual mental health provider in Homer Glen, Illinois, licensed in Illinois (180.012970) and active in the NPI registry since November 2016. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1417490681
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLIE CALDERON
Location Address14007 S BELL RD STE 183Homer Glen, IL 60491
Mailing Address14007 S Bell Rd Ste 183Homer Glen, IL 60491-8463 · (708) 553-0602
Sole ProprietorNo
Enumeration DateNovember 21, 2016
Last NPPES UpdateJune 23, 20203 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
NPI 1417490681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in IL · 180.012970 Licensed in IL · 178.012283
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178012283 (IL)
14007 S BELL RD STE 183, Homer Glen, IL 60491

Other Names 1

Former Name (1)Kellie Olson

Secondary Practice Location 1

Location 1945 W George St Ste 206Chicago, IL 60657 · Phone (708) 945-0085

Other Identifiers 1

Other1417490681IL · Npi 1 Number

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
14007 S BELL RD STE 183
HOMER GLEN, IL 60491
Counselor (Professional)
14007 S BELL RD STE 183
HOMER GLEN, IL 60491

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 Kellie Calderon's NPI number?

The NPI number for Kellie Calderon is 1417490681. It was assigned to this individual provider in the NPPES registry on November 21, 2016. The provider is also known as Kellie Olson.

Where is Kellie Calderon located?

Kellie Calderon practices at 14007 S Bell Rd Ste 183, Homer Glen, IL 60491. The listed phone number is (708) 553-0602.

What is Kellie Calderon'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 Kellie Calderon was last updated on June 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.