Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kc Eating Disorder Clinic PLLC

Organization Mental Health Counselor · NPI 1740169655

Kc Eating Disorder Clinic PLLC is a Mental Health Counselor in Champaign, Illinois. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

313 N Mattis Ave Ste 110
Champaign, IL 61821-7901
Phone: (217) 377-0299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1740169655
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaitlyn Cornell — Ceo · (217) 621-0766
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address203 Flora Dr, Champaign, IL 61821-3212

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