KC EATING DISORDER CLINIC PLLC
NPI 1740169655
Clinic/Center - Mental Health (Including Community Mental Health Center) in Champaign, IL

Q: What is Kc Eating Disorder Clinic PLLC's NPI number?

The NPI number for Kc Eating Disorder Clinic PLLC is 1740169655. It was assigned to this organization in the NPPES registry on August 27, 2025.

Q: What is Kc Eating Disorder Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since August 27, 2025

313 N MATTIS AVE STE 110, CHAMPAIGN, IL 61821(217) 377-0299 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kc Eating Disorder Clinic Pllc NPPES

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

KC EATING DISORDER CLINIC PLLC (NPI 1740169655) is a healthcare organization registered as a mental health (including community mental health center) in Champaign, Illinois and active in the NPI registry since August 2025. The organization lists Kaitlyn Cornell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740169655

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameKC EATING DISORDER CLINIC PLLC

Location Address313 N MATTIS AVE STE 110Champaign, IL 61821-7901

Mailing Address203 Flora DrChampaign, IL 61821-3212 · (217) 621-0766

Phone(217) 377-0299

Organization SubpartNo

Authorized OfficialKaitlyn CornellCeo · (217) 621-0766

Enumeration DateAugust 27, 2025

NPPES CertifiedAugust 27, 2025

✔ NPI 1740169655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

313 N MATTIS AVE STE 110, Champaign, IL 61821

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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 Kc Eating Disorder Clinic PLLC's NPI number?

The NPI number for Kc Eating Disorder Clinic PLLC is 1740169655. It was assigned to this organization in the NPPES registry on August 27, 2025.

Where is Kc Eating Disorder Clinic PLLC located?

Kc Eating Disorder Clinic PLLC is located at 313 N Mattis Ave Ste 110, Champaign, IL 61821. The listed phone number is (217) 377-0299.

What is Kc Eating Disorder Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Kc Eating Disorder Clinic PLLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.