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

Kelly M. Childress, BA

Individual provider Mental Health Counselor · NPI 1639489800

Kelly M. Childress, BA is a Mental Health Counselor in Mattoon, Illinois. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

750 Broadway Ave E
Mattoon, IL 61938-4610
Phone: (217) 238-5700
Fax: (217) 238-5767
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1639489800
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorNo
NPI enumeratedOctober 20, 2010
Last updated in NPPESOctober 20, 2010

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