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

Mrs. Kelly R. Broderick, LPC

Individual provider Counselor · NPI 1881817443

Mrs. Kelly R. Broderick, LPC is a Counselor in LA Grange, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

515 S Ashland Ave
LA Grange, IL 60525-2812
Phone: (708) 352-1880
Fax: (708) 352-1880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (IL)
Developmental Therapist Taxonomy 222Q00000X (IL)

Record details

NPI number1881817443
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedApril 11, 2007
Last updated in NPPESSeptember 11, 2025

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