KRISTEN M KELLERHALS BA - NPI 1457979676 - Social Worker in Champaign, IL

Q: What is Kristen Kellerhals's NPI number?

The NPI number for Kristen Kellerhals is 1457979676. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Q: What is Kristen Kellerhals's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Kristen M Kellerhals Ba NPPES

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

KRISTEN M KELLERHALS BA (NPI 1457979676) is an individual clinical provider in Champaign, Illinois and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457979676

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKRISTEN M KELLERHALSCredential: BA

Location Address2506 GALEN DR STE 108Champaign, IL 61821-7047

Mailing Address2506 Galen Dr Ste 108Champaign, IL 61821-7047 · Fax (217) 238-5767

Phone(217) 238-5700

Fax(217) 238-5767

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 14, 2020

Last NPPES UpdateMay 28, 20263 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1457979676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2506 GALEN DR STE 108, Champaign, IL 61821

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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)

Kristen M Kellerhals Ba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375917164

PECOS Enrollment IDI20230317000770

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61821 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.