What is Ryan Kellog's NPI number?

Ryan Kellog's National Provider Identifier (NPI) is 1114556719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ryan Kellog's specialty?

Ryan Kellog is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Ryan Kellog located?

Ryan Kellog's practice location on file with NPPES is 111 W Washington St Ste 203, East Peoria, IL 61611-2532.

What is Ryan Kellog's phone number?

The practice phone number listed in the NPPES registry for Ryan Kellog is (309) 671-8060.

Is Ryan Kellog's NPI active?

Yes — Ryan Kellog's NPI (1114556719) is active in the NPPES registry as of the last update on 2020-04-06.

IndividualActive

Ryan Kellog

NPI 1114556719 · Mental Health Counselor · East Peoria, IL

Ryan Kellog is a Mental Health Counselor provider in East Peoria, IL (NPI 1114556719).

Provider details

NPI number: 1114556719
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(58/100 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
1 documented practice location

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

111 W Washington St Ste 203

East Peoria, IL 61611-2532

Phone: (309) 671-8060

Street-level locationGet directions

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Mailing address