RYAN KELLOG – Mental Health Counselor, NPI 1114556719

RYAN KELLOG is a healthcare provider. based in East peoria, Illinois. specializing in Mental Health Counselor. The NPI Number for RYAN KELLOG is 1114556719

Main info

Male
Name
RYAN KELLOG
NPI
1114556719
Phone
(309) 671-8060
Address
111 W WASHINGTON ST STE 203
Enumeration Date
6 April 2020
Last Update Date
6 April 2020

Contacts

Main Contact
rkellog@hscpeoria.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness85
Years active:6State licenses:0Other namesUpdated within 12 months

Provider Addresses for RYAN KELLOG

  • 111 W WASHINGTON ST STE 203

    EAST PEORIA, IL 616112532

    Phone: (309) 671-8060

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61611)

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Reviews

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Frequently asked questions

Is there an official ID for RYAN KELLOG in U.S. healthcare records?
The official identifier for RYAN KELLOG is NPI 1114556719.
Is RYAN KELLOG shown as active in public data?
Registry records indicate RYAN KELLOG maintains an active NPI.
How would a patient describe RYAN KELLOG's focus?
For RYAN KELLOG, the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is RYAN KELLOG located near East Peoria?
RYAN KELLOG currently maps to East Peoria, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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