KELLY FORD (NPI# 1013378363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013378363 |
| Entity Type | Individual |
| Full Name | KELLY FORD |
| Credential | MS, LCPC |
| Practice Address |
4923 Main St Downers Grove IL 60515-3654 |
| Mailing Address |
587 Mistic Harbour Ln Schaumburg IL 60193-3842 |
| Practice Telephone | 6302060272 |
| Mailing Telephone | 2244896636 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180010192 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598388522 | Kelly E Ford | Registered Nurse | 382 Hillsdale Cir, Wadsworth, OH 44281-1008 | 2020-05-26 |
| 1861753576 | Kelly Nicole Ford | Social Worker | 5157 Business 220, Bedford, PA 15522 | 2012-05-30 |
| 1093948622 | Kelly Ford | Specialist/Technologist, Other | 2200 E Parrish Ave., Bldg B, Ste 203, Owensboro, KY 42303 | 2009-08-31 |
| 1891342523 | Kelly Ford | Behavior Technician | 109 Oak St Ste 103, Newton, MA 02464-1493 | 2019-08-19 |
| 1407325426 | Kelly Nicole Ford | Physical Therapy Assistant | 1893 Ne Miami Gardens Dr, Miami, FL 33179-5035 | 2018-11-20 |
| 1568918621 | Kelly Ford | Counselor | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2016-08-29 |
| 1205268604 | Kelly T Ford | Social Worker | 5 Linsley St, North Haven, CT 06473-2518 | 2013-08-07 |
| 1760826788 | Kelly Ford | Radiology | 7695 Poplar Pike Ste 101, Germantown, TN 38138-5947 | 2013-04-21 |
| 1851669196 | Kelly Ann Ford | Physical Therapist | 300 Wyoming Ave, Wyoming, PA 18644-1695 | 2011-12-01 |
| 1083842462 | Kelly Ford | Counselor | 4550 E Bell Rd, 147, Phoenix, AZ 85032-9306 | 2009-06-24 |
| Street Address |
4923 MAIN ST |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639486095 | Amber Wilkins | Speech-Language Pathologist | 4923 Main St, Downers Grove, IL 60515-3654 | 2010-09-07 |
| 1649743055 | Soyoung Suh | Psychologist | 4923 Main St, Downers Grove, IL 60515-3654 | 2019-01-08 |
| 1578075172 | Kayla Legow | Social Worker | 4923 Main St, Downers Grove, IL 60515 | 2017-11-04 |
| 1205345428 | Kimberly Kriks | Social Worker | 4923 Main St, Downers Grove, IL 60515-3654 | 2017-09-20 |
| 1659805323 | Rachael Mckenney | Social Worker | 4923 Main St, Downers Grove, IL 60515-3654 | 2017-04-19 |
| 1790216331 | Lauren Campbell | Social Worker | 4923 Main St, Downers Grove, IL 60515-3654 | 2017-03-24 |
| 1962946111 | Brian Anerino | Social Worker | 4923 Main St, Downers Grove, IL 60515-3654 | 2016-12-07 |
| 1447794763 | Kelly Jean Wydra | Counselor | 4923 Main St, Downers Grove, IL 60515-3654 | 2016-12-05 |
| 1336507102 | Stephanie Rumbaugh | Social Worker | 4923 Main St, Downers Grove, IL 60515-3654 | 2016-02-08 |
| 1588022867 | Lisa Manhart | Social Worker | 4923 Main St, Downers Grove, IL 60515-3654 | 2016-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757806 | Tender Hearts Therapy, Ltd | Counselor | 5201 Washington St Ste 4, Downers Grove, IL 60515-5068 | 2020-07-21 |
| 1003452111 | Nevadagabrielle Bennett | Counselor | 5117 Main St Ste 15, Downers Grove, IL 60515-4654 | 2019-11-24 |
| 1104488980 | Kayla Mcgill | Counselor | 6912 Main St Ste 30, Downers Grove, IL 60516-3447 | 2019-07-02 |
| 1740702968 | Impact Wellness Services, LLC | Counselor | 2117 Prentiss Dr Apt K212, Downers Grove, IL 60516-2217 | 2017-07-10 |
| 1851832604 | Gretchen Anne Lewis | Counselor | 4902 Washington St, Downers Grove, IL 60515-3752 | 2017-03-13 |
| 1144675380 | Diane Cavey | Counselor | 2001 Butterfield Rd Ste 320, Downers Grove, IL 60515-5466 | 2016-04-25 |
| 1649635509 | Candice Veronica Hart | Counselor | 5740 Walnut Ave Apt 2c, Downers Grove, IL 60516-1099 | 2015-12-20 |
| 1811315484 | Stacey A Sanicki | Counselor | 4624 Sterling Rd, Downers Grove, IL 60515-3039 | 2014-04-01 |
| 1982047775 | Barbara Ovesen | Counselor | 6513 Wells St, Downers Grove, IL 60516-2449 | 2013-04-10 |
| 1669739579 | Anthony Quinn Ward Jr. | Counselor | 921 Curtiss St, Downers Grove, IL 60515 | 2012-04-16 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on KELLY FORD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.