Kellie Calderon
NPI 1417490681ActiveIndividual· Counselor, Mental Health· Homer Glen, IL
Counselor, Mental Health in Homer Glen, Illinois, licensed in IL, with an NPI issued in November 2016.
Overview
| NPI | 1417490681 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 21, 2016 |
| Last updated in NPPES | Jun 23, 2020 |
| Certified by provider | Jun 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 180.012970 | IL |
| Counselor, Mental Health | 101YM0800X | 178.012283 | IL |
| Counselor, Professional | 101YP2500X | 178012283 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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