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Kelly Ann Eisner , LCPC, LMHC, LPC

Counselor - Professional β€’ Naperville, IL

Active NPI 1467771782 Individual Practitioner Female Practitioner
Practice location in NPPES

24w788 75th St
Naperville, IL 605651684

Call 5162205839 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

24w788 75th St

Naperville, IL 605651684

Telephone 5162205839
Organization at the Same NPPES Address or Phone
Mind Body Connections Pllc Facility NPI 1649518515

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

NPI first issued

2010

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 Naperville and Illinois

330 active clinicians are listed under Counselor - Professional with a practice address in Naperville, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Naperville

5.2% of these 330 clinicians have the CMS telehealth indicator.

12.4% of these 330 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: 2022-09-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180014621
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES NY 005800-1
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES VA 0701004794
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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Holly Harris , LCSW

Social Worker - Clinical

NPI 1679642656

Licensed Clinical Social Worker

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location September 19, 2022

Registered at 24W788 75TH ST, NAPERVILLE, IL 605651684 (Tel: 5162205839)

πŸ‘€
Provider Name / Credentials Updated September 19, 2022

Recorded as KELLY EISNER, LCPC, LMHC, LPC

βœ…
NPI Profile Active April 22, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 22, 2014

Registered at 60 FIRE ISLAND AVE, SUITE 102, BABYLON, NY 117023502 (Tel: 5162205839)

πŸ“
Business Mailing Address (Initial Record) April 22, 2014

Registered at 60 FIRE ISLAND AVE, SUITE 102, BABYLON, NY 117023502 (Tel: 5162205839)

πŸ‘€
Provider Name / Credentials (Initial Record) April 22, 2014

Recorded as KELLY EISNER, LMHC, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2014

Counselor (license number reported to NPPES: NY 005800-1)

🟒
Initial NPI Registration & Enumeration May 26, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467771782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2010
Last Update: September 19, 2022
Sole Proprietor: No

Other Counselor - Professionals in Naperville

All Counselor - Professionals in Naperville

Mailing Address

60 Fire Island Ave, Suite 102

Babylon, NY 117023502

Phone: 5162205839

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.