MR. PATRICK HARRY KELLY (NPI# 1851895031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851895031 |
| Entity Type | Individual |
| Full Name | MR. PATRICK HARRY KELLY |
| Credential | MA, LPC |
| Practice Address |
5435 Bull Valley Rd Ste 230 Mchenry IL 60050-7435 |
| Mailing Address |
11008 Michigan Dr. Spring Grove IL 60081-8491 |
| Practice Telephone | 8474384222 |
| Mailing Telephone | 8153223942 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178.013436 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730672833 | Patrick John Kelly | Dentist | 244 Fm 306 Ste 118, New Braunfels, TX 78130-5487 | 2018-06-13 |
| 1508391665 | Patrick Joel Kelly | Behavior Technician | 814 D St Apt 3, Sacramento, CA 95814-0722 | 2017-04-26 |
| 1720409824 | Patrick John Kelly | Physician Assistant | 3318 Broadway, Astoria, NY 11106-1806 | 2013-12-17 |
| 1881951622 | Patrick S Kelly | Dentist | 9860 Westpoint Dr Ste 100, Indianapolis, IN 46256-3398 | 2012-04-18 |
| 1821365198 | Patrick John Kelly | Physical Therapist | 1841 Broadway Rm 507, Suite 507, New York, NY 10023-7685 | 2011-11-30 |
| 1881971919 | Patrick Ryan Kelly | Registered Nurse | 1600 North Drive, Sioux Falls, SD 57117 | 2011-11-03 |
| 1821322710 | Patrick Kelly | Technician/Technologist | 1490 W Patapsco Ave, Baltimore, MD 21230-3400 | 2009-09-24 |
| 1457518003 | Patrick Britton Kelly | Dentist | 5352b Highway 90 W, Mobile, AL 36619-4202 | 2008-05-21 |
| 1306026919 | Patrick Francis Kelly | Pediatrics | 87 Cambridgepark Dr, Y2010, Cambridge, MA 02140-2311 | 2007-11-12 |
| 1982757456 | Patrick Dale Kelly | Dentist | 608 Hwy 12 West, Bowman, ND 58623-0710 | 2007-01-19 |
| Street Address |
5435 BULL VALLEY RD STE 230 |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-7435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483643 | Haley Kramer | Counselor | 5435 Bull Valley Rd Ste 230, Mchenry, IL 60050-7435 | 2020-09-24 |
| 1083230007 | Risa Lynette Becker | Counselor | 5435 Bull Valley Rd Ste 230, Mchenry, IL 60050-7435 | 2020-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770054249 | Rahela Gjeorgievska | Counselor | 4711 W Shore Dr, Mchenry, IL 60050-3670 | 2018-12-10 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1316455595 | Allison Foshee | Counselor | 4209 W Shamrock Ln Unit C, Mchenry, IL 60050-8700 | 2018-01-22 |
| 1609226380 | Lisa Lewis | Counselor | 8 Lakeview Court, Mchenry, MD 21541 | 2016-06-14 |
| 1063849164 | Morgan Marie Peterson | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2013-10-03 |
| 1275541591 | Geraldine Charley | Counselor | 4100 Veteran's Pkwy, Mchenry, IL 60050-4029 | 2006-08-03 |
| 1699783803 | Gayle Saturday | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2006-08-03 |
| 1285240317 | Katelyn L Kettler | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-09-23 |
| 1508470311 | Alejandra Ethel Gutierrez | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-08-31 |
| 1033722848 | Association of Individual Development | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-08-31 |
| Find all providers in MCHENRY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.