KELSEY LOPEZ MA
NPI 1740677780
Counselor - Professional in Plainfield, IL

Active since April 16, 2015PECOS EnrolledAccepts Medicare Assignment
24402 W LOCKPORT ST STE 215, PLAINFIELD, IL 60544(630) 621-5824(815) 230-3652 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Lopez Ma NPPES

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

KELSEY LOPEZ MA (NPI 1740677780) is an individual professional provider in Plainfield, Illinois, licensed in Illinois (180.011032) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1740677780
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELSEY LOPEZCredential: MA
Location Address24402 W LOCKPORT ST STE 215Plainfield, IL 60544-4204
Mailing Address6745 Pine Lake DrTinley Park, IL 60477-4935 · (630) 244-5717
Fax(815) 230-3652
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 16, 2015
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1740677780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.011032
Also ListedSocial WorkerTaxonomy 104100000X
24402 W LOCKPORT ST STE 215, Plainfield, IL 60544

Other Names 1

Former Name (1)Kelsey Bodine

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

Kelsey Lopez Ma 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 ID8426549197
PECOS Enrollment IDI20251203000843
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.

Other Providers at the Same Location NPPES

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

Psychologist
24402 W LOCKPORT ST STE 215
PLAINFIELD, IL 60544

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 Kelsey Lopez's NPI number?

The NPI number for Kelsey Lopez is 1740677780. It was assigned to this individual provider in the NPPES registry on April 16, 2015. The provider is also known as Kelsey Bodine.

Where is Kelsey Lopez located?

Kelsey Lopez practices at 24402 W Lockport St Ste 215, Plainfield, IL 60544. The listed phone number is (630) 621-5824.

What is Kelsey Lopez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelsey Lopez enrolled in Medicare?

Yes. Kelsey Lopez 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.

When was this NPI record last updated?

The NPPES record for Kelsey Lopez was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.