KELLY MCKENNA LCSW
NPI 1982723250
Counselor - Mental Health in Danville, IL

Active since March 28, 2007PECOS Enrolled
210 AVENUE C, DANVILLE, IL 61832(217) 442-3200(217) 442-7460 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Mckenna Lcsw NPPES

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

KELLY MCKENNA LCSW (NPI 1982723250) is an individual mental health provider in Danville, Illinois, licensed in Illinois (150010658) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1982723250
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY MCKENNACredential: LCSW
Location Address210 AVENUE CDanville, IL 61832-5410
Mailing Address3400 W New Leaf LnPeoria, IL 61615-3311 · (309) 282-1084 · Fax (309) 282-1089
Fax(217) 442-7460
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 28, 2007
Last NPPES UpdateJune 8, 2009
✔ NPI 1982723250 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 · 150010658
210 AVENUE C, Danville, IL 61832

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Mckenna Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325336480
PECOS Enrollment IDI20161005002835
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Mckenna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Point of Service
3526 N CALIFORNIA AVE STE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
210 AVENUE C
DANVILLE, IL 61832
Registered Nurse (Psychiatric/Mental Health)
210 AVENUE C
DANVILLE, IL 61832
Licensed Practical Nurse
210 AVENUE C
DANVILLE, IL 61832
Student in an Organized Health Care Education/Training Program
210 AVENUE C
DANVILLE, IL 61832
Counselor (Professional)
210 AVENUE C
DANVILLE, IL 61832
Counselor
210 AVENUE C
DANVILLE, IL 61832
Early Intervention Provider Agency
210 AVENUE C
DANVILLE, IL 61832
Counselor (Mental Health)
210 AVENUE C
DANVILLE, IL 61832

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 Mckenna's NPI number?

The NPI number for Kelly Mckenna is 1982723250. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Kelly Mckenna located?

Kelly Mckenna practices at 210 Avenue C, Danville, IL 61832. The listed phone number is (217) 442-3200.

What is Kelly Mckenna's specialty?

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

Is Kelly Mckenna enrolled in Medicare?

Yes. Kelly Mckenna is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Mckenna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mckenna reassigns Medicare benefits to Mckenna Counseling LLC (Peoria, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Mckenna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Mckenna was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.