TIMOTHY J KELLY (MA, LCPC) – Counselor, NPI 1720746308

TIMOTHY J KELLY (MA, LCPC) is a healthcare provider. based in East saint louis, Illinois. specializing in Counselor. They hold the professional credentials MA, LCPC. They hold a License No. 180013984 (IL). The NPI Number for TIMOTHY J KELLY (MA, LCPC) is 1720746308

Main info

Male
Name
TIMOTHY J KELLY (MA, LCPC)
NPI
1720746308
Phone
(618) 397-0968
Address
9400 LEBANON RD
Enumeration Date
1 December 2021
Last Update Date
1 December 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

Provider Addresses for TIMOTHY J KELLY (MA, LCPC)

  • 9400 LEBANON RD

    EAST SAINT LOUIS, IL 622032214

    Phone: (618) 397-0968

    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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Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 62203)

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Reviews

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Frequently asked questions

What is the standard ID for TIMOTHY J KELLY (MA, LCPC) in the U.S.?
In the U.S., TIMOTHY J KELLY (MA, LCPC) is identified by NPI 1720746308.
Quick check: is TIMOTHY J KELLY (MA, LCPC) active?
Public NPPES data shows TIMOTHY J KELLY (MA, LCPC) with an active NPI status right now.
What does the directory say TIMOTHY J KELLY (MA, LCPC) does?
Insurance directories may phrase it differently, but here TIMOTHY J KELLY (MA, LCPC) maps to Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to TIMOTHY J KELLY (MA, LCPC)?
TIMOTHY J KELLY (MA, LCPC) shows a connection to East Saint Louis, Illinois in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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