KELLY GUSTAFSON
NPI 1508691023
Counselor - Mental Health in Dekalb, IL

Active since September 04, 2024
12 HEALTH SERVICES DR, DEKALB, IL 60115(815) 756-4875 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Gustafson NPPES

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

KELLY GUSTAFSON (NPI 1508691023) is an individual mental health provider in Dekalb, Illinois and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1508691023
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY GUSTAFSON
Location Address12 HEALTH SERVICES DRDekalb, IL 60115-9637
Mailing AddressPo Box 1109Dekalb, IL 60115-7109 · (815) 766-3024
Sole ProprietorYes
Enumeration DateSeptember 4, 2024
NPPES CertifiedSeptember 4, 2024
NPI 1508691023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12 HEALTH SERVICES DR, Dekalb, IL 60115

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115

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 Gustafson's NPI number?

The NPI number for Kelly Gustafson is 1508691023. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Where is Kelly Gustafson located?

Kelly Gustafson practices at 12 Health Services Dr, Dekalb, IL 60115. The listed phone number is (815) 756-4875.

What is Kelly Gustafson'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 Kelly Gustafson was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.