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

Kristen Fanella

Individual provider Counselor · NPI 1255114294

Kristen Fanella is a Counselor in Machesney Park, Illinois. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

1205 W Lane Rd
Machesney Park, IL 61115-1625
Phone: (815) 655-7989
Show map & directions

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

Additional practice locations (1)

  • 5906 Elaine Dr, Rockford, IL 61108-2467 — (779) 210-3453

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1255114294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025