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Kellye Winbush Fairley

Behavior Analyst β€’ Chicago, IL

Active NPI 1720314149 Individual Practitioner Female Practitioner
Practice location in NPPES

680 N Lake Shore Dr Ste 110-1750
Chicago, IL 606114546

Call 3125230728 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

680 N Lake Shore Dr Ste 110-1750

Chicago, IL 606114546

Telephone 3125230728
Fax 3126839416
Organization at the Same NPPES Address or Phone
Key To Hope Llc Facility NPI 1154686079

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Chicago, IL; Riverdale, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

675 active clinicians are listed under Behavior Analyst with a practice address in Chicago, IL (3,085 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0% of these 675 clinicians have the CMS telehealth indicator.

0% of these 675 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-27
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
HSD0V700 (IL)

Secondary Practice Locations

7158 S Woodlawn Ave

Chicago, IL 606191329

Phone: 3125230728

14419 S Atlantic Ave

Riverdale, IL 608272716

Phone: 3125230728

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 27, 2026

Registered at 680 N LAKE SHORE DR STE 110-1750, CHICAGO, IL 606114546 (Tel: 3125230728)

πŸ“
Updated Business Mailing Address January 27, 2026

Registered at 6438 S WOODLAWN AVE APT 2S, CHICAGO, IL 606377343 (Tel: 3125230728)

πŸ‘€
Provider Name / Credentials Updated January 27, 2026

Recorded as KELLYE WINBUSH FAIRLEY

βœ…
NPI Profile Active July 06, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 06, 2012

Registered at 1748 E 84TH PL, 2, CHICAGO, IL 606172275 (Tel: 4048498248)

πŸ“
Business Mailing Address (Initial Record) July 06, 2012

Registered at 1748 E 84TH PL, 2, CHICAGO, IL 606172275 (Tel: 4048498248)

πŸ‘€
Provider Name / Credentials (Initial Record) July 06, 2012

Recorded as KELLYE WINBUSH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2012

Behavior Analyst

🟒
Initial NPI Registration & Enumeration October 19, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720314149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2009
Last Update: January 27, 2026
Sole Proprietor: No

Mailing Address

6438 S Woodlawn Ave Apt 2s

Chicago, IL 606377343

Phone: 3125230728

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.