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

Timothy J Kelly, MA, LCPC

Individual provider Professional Counselor · NPI 1720746308

Timothy J Kelly, MA, LCPC is a Professional Counselor in East Saint Louis, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

9400 Lebanon Rd
East Saint Louis, IL 62203-2214
Phone: (618) 397-0968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 180013984 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 180013984 (IL)

Record details

NPI number1720746308
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LCPC
Sole proprietorNo
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateNovember 30, 2021

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