THERESA KELLY M.A.,LPC,LCPC
NPI 1548639891
Counselor in Chicago, IL
NPI Status: Active since September 16, 2015
Contact Information
4919 W CATALPA AVE
CHICAGO, IL
ZIP 60630
Phone: (773) 562-6230
- Individual
- Female
- Counselor
- Accepts Insurance
About THERESA KELLY
This page provides the complete NPI Profile along with additional information for Theresa Kelly, a provider established in Chicago, Illinois with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1548639891 assigned on September 2015. The practitioner's primary taxonomy code is 101Y00000X with license number 180009878 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1548639891
- Provider Name
- THERESA KELLY M.A.,LPC,LCPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4919 W CATALPA AVE CHICAGO, IL 60630
- Location Phone
- (773) 562-6230
- Mailing Address
- 4919 W CATALPA AVE CHICAGO, IL 60630
- Mailing Phone
- (773) 562-6230
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-16-2015
- Last Update Date
- 03-30-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180009878
- License State
- IL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 178006846 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 4 | 8 | 6 | 3 | 9 | 8 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 12 | 3 | 18 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 2 + 3 + 1 + 8 + 8 + 1 + 8 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1548639891 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548639891, enumerated as an "individual" on September 16, 2015.
The provider is located at 4919 W CATALPA AVE CHICAGO, IL 60630 and the phone number is (773) 562-6230.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to verify.
