MRS. KELLY JEAN WYDRA L.C.P.C., C.A.D.C.
NPI 1447794763
Counselor in Downers Grove, IL

Active since December 05, 2016
4923 MAIN ST, DOWNERS GROVE, IL 60515(815) 651-1983 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Jean Wydra L.c.p.c., C.a.d.c. NPPES

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

MRS. KELLY JEAN WYDRA L.C.P.C., C.A.D.C. (NPI 1447794763) is an individual counselor in Downers Grove, Illinois, licensed in Illinois (180.007933) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1447794763
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. KELLY JEAN WYDRACredential: L.C.P.C., C.A.D.C.
Location Address4923 MAIN STDowners Grove, IL 60515-3654
Mailing Address1223 Rhodes LnNaperville, IL 60540-0341 · (815) 651-1983
Sole ProprietorYes
Enumeration DateDecember 5, 2016
NPI 1447794763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in IL · 180.007933
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4923 MAIN ST, Downers Grove, IL 60515

Accepted Insurance

Other Providers at the Same Location NPPES 18

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

Counselor (Mental Health)
4923 MAIN ST
DOWNERS GROVE, IL 60515
Speech-Language Pathologist
4923 MAIN ST
DOWNERS GROVE, IL 60515
Counselor (Professional)
4923 MAIN ST
DOWNERS GROVE, IL 60515
Speech-Language Pathologist
4923 MAIN ST
DOWNERS GROVE, IL 60515
Counselor (Professional)
4923 MAIN ST
DOWNERS GROVE, IL 60515
Speech-Language Pathologist
4923 MAIN ST
DOWNERS GROVE, IL 60515
Social Worker (Clinical)
4923 MAIN ST
DOWNERS GROVE, IL 60515
Speech-Language Pathologist
4923 MAIN ST
DOWNERS GROVE, IL 60515

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 Wydra's NPI number?

The NPI number for Kelly Wydra is 1447794763. It was assigned to this individual provider in the NPPES registry on December 5, 2016.

Where is Kelly Wydra located?

Kelly Wydra practices at 4923 Main St, Downers Grove, IL 60515. The listed phone number is (815) 651-1983.

What is Kelly Wydra's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Kelly Wydra accept?

Health plans from Providence Health Plan list Kelly Wydra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Wydra was last updated on December 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.