What is Kelly Childress's NPI number?

Kelly Childress's National Provider Identifier (NPI) is 1639489800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Childress's specialty?

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

Where is Kelly Childress located?

Kelly Childress's practice location on file with NPPES is 750 Broadway Ave E, Mattoon, IL 61938-4610.

What is Kelly Childress's phone number?

The practice phone number listed in the NPPES registry for Kelly Childress is (217) 238-5700.

Is Kelly Childress's NPI active?

Yes — Kelly Childress's NPI (1639489800) is active in the NPPES registry as of the last update on 2010-10-20.

IndividualActive

Kelly Childress, B.A.

NPI 1639489800 · Mental Health Counselor · Mattoon, IL

Kelly Childress, B.A. is a Mental Health Counselor provider in Mattoon, IL (NPI 1639489800).

Provider details

NPI number: 1639489800
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Credential: B.A.
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 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

750 Broadway Ave E

Mattoon, IL 61938-4610

Phone: (217) 238-5700

Fax: (217) 238-5767

Street-level locationGet directions

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Mailing address