Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY BAKER TYSON
NPI 1922912468
Counselor - Mental Health in Vernon Hills, IL

Q: What is Kelly Baker Tyson's NPI number?

The NPI number for Kelly Baker Tyson is 1922912468. It was assigned to this individual provider in the NPPES registry on October 1, 2026. The provider is also known as Kelly Baker.

Q: What is Kelly Baker Tyson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Baker Tyson was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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 October 01, 2026

175 E HAWTHORN PKWY STE 155, VERNON HILLS, IL 60061(847) 847-4977 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Kelly Baker Tyson NPPES

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

KELLY BAKER TYSON (NPI 1922912468) is an individual mental health provider in Vernon Hills, Illinois, licensed in Illinois (178033381) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1922912468

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY BAKER TYSON

Location Address175 E HAWTHORN PKWY STE 155Vernon Hills, IL 60061-1493

Mailing Address1037 Shambliss CtBuffalo Grove, IL 60089-1247 · (847) 847-4977

Phone(847) 847-4977

Sole ProprietorYes

Enumeration DateOctober 1, 2026

NPPES CertifiedOctober 1, 2026

✔ NPI 1922912468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 178033381

175 E HAWTHORN PKWY STE 155, Vernon Hills, IL 60061

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Other Names 1

Former Name (1)Kelly Baker

Other Providers at the Same Location NPPES 2

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

MS. MARISA NICOLE RUBALCAVA

Counselor (Mental Health)

175 E HAWTHORN PKWY STE 155
VERNON HILLS, IL 60061

Lake County (847) 792-5022

MR. DAVID STEPHEN GRAY LCPC

Counselor (Professional)

175 E HAWTHORN PKWY STE 155
VERNON HILLS, IL 60061

Lake County (440) 714-8822

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 Baker Tyson's NPI number?

The NPI number for Kelly Baker Tyson is 1922912468. It was assigned to this individual provider in the NPPES registry on October 1, 2026. The provider is also known as Kelly Baker.

Where is Kelly Baker Tyson located?

Kelly Baker Tyson practices at 175 E Hawthorn Pkwy Ste 155, Vernon Hills, IL 60061. The listed phone number is (847) 847-4977.

What is Kelly Baker Tyson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Baker Tyson was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.