KELLY KETELAAR LPC
NPI 1851049621
Counselor - Professional in Manhattan, IL

Q: What is Kelly Ketelaar's NPI number?

The NPI number for Kelly Ketelaar is 1851049621. It was assigned to this individual provider in the NPPES registry on March 11, 2022.

Q: What is Kelly Ketelaar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Ketelaar was last updated on March 11, 2022. 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.

Active since March 11, 2022

25447 ELAM DR, MANHATTAN, IL 60442(815) 530-5092 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Ketelaar Lpc NPPES

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

KELLY KETELAAR LPC (NPI 1851049621) is an individual professional provider in Manhattan, Illinois, licensed in Illinois (178.016090) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1851049621

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKELLY KETELAARCredential: LPC

Location Address25447 ELAM DRManhattan, IL 60442-6219

Mailing Address25447 Elam DrManhattan, IL 60442-6219 · (815) 530-5092

Phone(815) 530-5092

Sole ProprietorYes

Enumeration DateMarch 11, 2022

NPPES CertifiedMarch 11, 2022

✔ NPI 1851049621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 178.016090

25447 ELAM DR, Manhattan, IL 60442

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Ketelaar's NPI number?

The NPI number for Kelly Ketelaar is 1851049621. It was assigned to this individual provider in the NPPES registry on March 11, 2022.

Where is Kelly Ketelaar located?

Kelly Ketelaar practices at 25447 Elam Dr, Manhattan, IL 60442. The listed phone number is (815) 530-5092.

What is Kelly Ketelaar's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Ketelaar was last updated on March 11, 2022. 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.