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KELLY HULL LCPC
NPI 1992155352
Counselor - Professional in Maywood, IL

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment
117 S 6TH AVE, CLC OFFICE, MAYWOOD, IL 60153(708) 344-5536(708) 344-5535 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2019, Jun 21, 2016, Jun 16, 2016 (3 updates tracked since 2016).

About Kelly Hull Lcpc NPPES

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

KELLY HULL LCPC (NPI 1992155352) is an individual professional provider in Maywood, Illinois, licensed in Illinois (180011054) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1992155352
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY HULLCredential: LCPC
Location Address117 S 6TH AVE, CLC OFFICEMaywood, IL 60153-1305
Mailing Address1118 N Harlem Ave Apt DRiver Forest, IL 60305-1559 · (312) 399-7065
Phone(708) 344-5536
Fax(708) 344-5535
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 16, 2016
Last NPPES UpdateOctober 7, 20193 updates tracked since enumeration
✔ NPI 1992155352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180011054✔ Licensed in IL · 178009412
117 S 6TH AVE, Maywood, IL 60153
Open in Google Maps ↗

Other Identifiers 1

Medicaid1225285596IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Hull Lcpc 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 ID6002253523
PECOS Enrollment IDI20240320000987
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 Hull reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Presence Behavioral Health
0.6 mi
Mental Health (Including Community Mental Health Center)
1414 MAIN ST
Melrose Park, IL 60160
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
NPI 1477622298 (708) 681-2324

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 4

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

MR. TYLER J PULLEN
Counselor (Mental Health)
117 S 6TH AVE
MAYWOOD, IL 60153
Cook County (708) 681-4357
PRESENCE BEHAVIORAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
117 S 6TH AVE
MAYWOOD, IL 60153
Cook County (708) 681-2324
KATHRYN HARRIS
Counselor (Mental Health)
117 S 6TH AVE
MAYWOOD, IL 60153
Cook County (708) 344-5536
CHRISTOL ROBERTSON
Counselor (Mental Health)
117 S 6TH AVE
MAYWOOD, IL 60153
Cook County (708) 681-4357

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 Hull's NPI number?

The NPI number for Kelly Hull is 1992155352. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Kelly Hull located?

Kelly Hull practices at 117 S 6th Ave Clc Office, Maywood, IL 60153. The listed phone number is (708) 344-5536.

What is Kelly Hull's specialty?

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

Is Kelly Hull enrolled in Medicare?

Yes. Kelly Hull 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.

Which organization bills Medicare for Kelly Hull's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hull reassigns Medicare benefits to Presence Behavioral Health (Melrose Park, 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 Hull'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 Hull was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.