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

Paul Kelly

Individual provider Professional Counselor · NPI 1629773478

Paul Kelly is a Professional Counselor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
Specialties on file
3

Practice location Address checks out

7921 S Trumbull Ave
Chicago, IL 60652-1454
Phone: (708) 728-5460
Show map & directions

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

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X
Professional Counselor Taxonomy 101YP2500X · Licence 178020309 (IL)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence KELL-GLU4KJ (IL)

Record details

NPI number1629773478
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

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