KELLY DORRIS
NPI 1619432275
Counselor - Mental Health in East Alton, IL

Q: What is Kelly Dorris's NPI number?

The NPI number for Kelly Dorris is 1619432275. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Q: What is Kelly Dorris's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Dorris was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 07, 2019

645 BERKSHIRE BLVD, EAST ALTON, IL 62024(618) 258-8750(618) 258-8751 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Kelly Dorris NPPES

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

KELLY DORRIS (NPI 1619432275) is an individual mental health provider in East Alton, Illinois and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1619432275

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY DORRIS

Location Address645 BERKSHIRE BLVDEast Alton, IL 62024-1324

Mailing Address5115 Williams PlGodfrey, IL 62035-1175 · (618) 979-1088

Phone(618) 258-8750

Fax(618) 258-8751

Sole ProprietorNo

Enumeration DateFebruary 7, 2019

✔ NPI 1619432275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

645 BERKSHIRE BLVD, East Alton, IL 62024

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

CHRISTIAN SOCIAL SERVICES OF ILLINOIS

Clinic/Center (Mental Health (Including Community Mental Health Center))

645 BERKSHIRE BLVD
EAST ALTON, IL 62024

Madison County (618) 258-8750

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 Dorris's NPI number?

The NPI number for Kelly Dorris is 1619432275. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Where is Kelly Dorris located?

Kelly Dorris practices at 645 Berkshire Blvd, East Alton, IL 62024. The listed phone number is (618) 258-8750.

What is Kelly Dorris'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 Dorris was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.