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MRS. KELLY R. BRODERICK L.P.C.
NPI 1881817443
Counselor in La Grange, IL

Active since April 11, 2007
515 S ASHLAND AVE, LA GRANGE, IL 60525(708) 352-1880(708) 352-1880 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kelly R. Broderick L.p.c. NPPES

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

MRS. KELLY R. BRODERICK L.P.C. (NPI 1881817443) is an individual counselor in La Grange, Illinois and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1881817443
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. KELLY R. BRODERICKCredential: L.P.C.
Location Address515 S ASHLAND AVELa Grange, IL 60525-2812
Mailing Address515 S Ashland AveLa Grange, IL 60525-2812 · (708) 352-1880 · Fax (708) 352-1880
Phone(708) 352-1880
Fax(708) 352-1880
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1881817443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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 ListedDevelopmental TherapistTaxonomy 222Q00000X

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 Broderick's NPI number?

The NPI number for Kelly Broderick is 1881817443. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Kelly Broderick located?

Kelly Broderick practices at 515 S Ashland Ave, La Grange, IL 60525. The listed phone number is (708) 352-1880.

What is Kelly Broderick's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Broderick was last updated on September 11, 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.