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TIMOTHY J KELLY MA, LCPC
NPI 1720746308
Counselor in East Saint Louis, IL

Active since December 01, 2021
9400 LEBANON RD, EAST SAINT LOUIS, IL 62203(618) 397-0968 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy J Kelly Ma, Lcpc NPPES

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

TIMOTHY J KELLY MA, LCPC (NPI 1720746308) is an individual counselor in East Saint Louis, Illinois, licensed in Illinois (180013984) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1720746308
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameTIMOTHY J KELLYCredential: MA, LCPC
Location Address9400 LEBANON RDEast Saint Louis, IL 62203-2214
Mailing Address9400 Lebanon RdEast Saint Louis, IL 62203-2214 · (618) 397-0968
Phone(618) 397-0968
Sole ProprietorNo
Enumeration DateDecember 1, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1720746308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180013984
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180013984 (IL)
9400 LEBANON RD, East Saint Louis, IL 62203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 10

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

COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Community Based Residential Treatment Facility, Mental Illness
9400 LEBANON RD
EAST SAINT LOUIS, IL 62203
St. Clair County (618) 482-4330
COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
9400 LEBANON RD
EAST SAINT LOUIS, IL 62203
St. Clair County (618) 482-7330
CALL FOR HELP, INC.
Community Based Residential Treatment Facility, Mental Illness
9400 LEBANON RD, JOBE BUILDING
EAST SAINT LOUIS, IL 62203
St. Clair County (618) 397-6836
CALL FOR HELP, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
9400 LEBANON RD
EAST SAINT LOUIS, IL 62203
St. Clair County (618) 397-0968
KELSEY RAE TRAEGER MSW, LSW
Social Worker (Clinical)
9400 LEBANON RD
EAST SAINT LOUIS, IL 62203
St. Clair County (618) 397-0968
MARILYN HOLMES MA, LPC, ATR-P
Counselor
9400 LEBANON RD
EAST SAINT LOUIS, IL 62203
St. Clair County (618) 397-0968
COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Community Based Residential Treatment Facility, Mental Illness
9400 LEBANON RD
EAST SAINT LOUIS, IL 62203
St. Clair County (618) 482-7330
COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Community Based Residential Treatment Facility, Mental Illness
9400 LEBANON RD
EAST SAINT LOUIS, IL 62203
St. Clair County (618) 482-4330

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 Timothy Kelly's NPI number?

The NPI number for Timothy Kelly is 1720746308. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Timothy Kelly located?

Timothy Kelly practices at 9400 Lebanon Rd, East Saint Louis, IL 62203. The listed phone number is (618) 397-0968.

What is Timothy Kelly's specialty?

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

What insurance does Timothy Kelly accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Timothy Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Kelly was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.