IndividualActive
Kelsey Diederich, LSW
NPI 1043862295 · Mental Health Counselor · Chicago, IL
Provider details
- NPI number
- 1043862295
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
304 N Loomis St
Chicago, IL 60607-1147
Phone: (312) 243-8487
Street-level locationGet directions
Mailing address
304 N Loomis St
Chicago, IL 60607-1147
Additional practice locations (1)
- 1414 Main StMelrose Park, IL 60160-3902Phone: (708) 681-0073
Registry dates
- Enumerated
- 2019-07-09
- Last updated
- 2022-12-04
- Certified
- 2022-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.