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

Kelcy M Micklos

Individual provider Marriage & Family Therapist · NPI 1649880519

Kelcy M Micklos is a Marriage & Family Therapist in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

6653 Weaver Rd Ste 12
Rockford, IL 61114-8025
Phone: (815) 201-2687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 166.001572 (IL)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 208.000815 (IL)

Record details

NPI number1649880519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2020
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address6653 Weaver Rd Ste 12, Rockford, IL 61114-8025

Other providers in Rockford