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

Kellen M Smith

Individual provider Mental Health Counselor · NPI 1306281324

Kellen M Smith is a Mental Health Counselor in Fox Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
Specialties on file
3

Practice location Address checks out

94 Eagle Point Rd
Fox Lake, IL 60020-1764
Phone: (815) 528-8965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150113514 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 35098 (IL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 30074 (IL)

Record details

NPI number1306281324
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2013
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address94 Eagle Point Rd, Fox Lake, IL 60020-1764

Other providers in Fox Lake