1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Psychologist
  6. NPI Profile

ELENA KELSEY HENDERSON PHD
NPI 1700570413
Psychologist - Clinical in Chicago, IL

Active since June 06, 2023PECOS EnrolledAccepts Medicare Assignment
912 S WOOD ST # 838, CHICAGO, IL 60612(312) 413-1567 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, Jun 6, 2023 (2 updates tracked since 2023).

About Elena Kelsey Henderson Phd NPPES

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

ELENA KELSEY HENDERSON PHD (NPI 1700570413) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.011031) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1700570413
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELENA KELSEY HENDERSONCredential: PHD
Location Address912 S WOOD ST # 838Chicago, IL 60612-4300
Mailing Address230 W 1300 S Unit 10Salt Lake City, UT 84115-5586 · (801) 436-4336
Phone(312) 413-1567
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 6, 2023
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1700570413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in IL · 071.011031✔ Licensed in UT · 13007086-2501
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
912 S WOOD ST # 838, Chicago, IL 60612
Open in Google Maps ↗

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

Elena Kelsey Henderson Phd 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 ID7911354352
PECOS Enrollment IDI20231107002761
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Elena Henderson's NPI number?

The NPI number for Elena Henderson is 1700570413. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Elena Henderson located?

Elena Henderson practices at 912 S Wood St # 838, Chicago, IL 60612. The listed phone number is (312) 413-1567.

What is Elena Henderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elena Henderson enrolled in Medicare?

Yes. Elena Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Elena Henderson affiliated with any hospitals?

According to CMS data, Elena Henderson is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Elena Henderson was last updated on October 30, 2023. 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.