JAMIE KELLY LCPC
NPI 1477927697
Counselor in Oak Brook, IL

Q: What is Jamie Kelly's NPI number?

The NPI number for Jamie Kelly is 1477927697. It was assigned to this individual provider in the NPPES registry on November 27, 2015.

Q: What is Jamie Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jamie Kelly was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 27, 2015PECOS EnrolledAccepts Medicare Assignment

1010 JORIE BLVD STE 200, OAK BROOK, IL 60523(773) 321-2734 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2024, Nov 27, 2015 (2 updates tracked since 2015).

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About Jamie Kelly Lcpc NPPES

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

JAMIE KELLY LCPC (NPI 1477927697) is an individual counselor in Oak Brook, Illinois, licensed in Illinois (180009599) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1477927697

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJAMIE KELLYCredential: LCPC

Location Address1010 JORIE BLVD STE 200Oak Brook, IL 60523-2240

Mailing Address1010 Jorie Blvd Ste 200Oak Brook, IL 60523-2240

Phone(773) 321-2734

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateNovember 27, 2015

Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1477927697 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 · 180009599

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.

1010 JORIE BLVD STE 200, Oak Brook, IL 60523

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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 and accepts Medicare assignment

Jamie Kelly Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830674266

PECOS Enrollment IDI20260402002083

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 7

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

ALLISON DECKINGA

Counselor