Ryan Kellog

ActiveIndividual ProviderMental Health Counselor
NPI issued: April 6, 2020

Quick Facts

NPI Number
1114556719
TypeIndividual
StatusActive
SpecialtyMental Health Counselor
Taxonomy101YM0800X — Mental Health Counselor
Phone
(309) 671-8060
StateIL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1114556719)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (April 6, 2020)
Data source: CMS NPPES

Provider Overview

RYAN KELLOG is a Mental Health Counselor provider based in East Peoria, IL who has been registered with CMS since 2020. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1114556719
Provider TypeIndividual Provider
GenderMale
StatusActive
Enumeration DateApril 6, 2020

Practice Location

CityEast Peoria
StateIL
ZIP Code61611-2532
Phone(309) 671-8060

Specialties & Licenses

★ Primary
SpecialtyMental Health Counselor
Taxonomy Code101YM0800X
License StateIL

Mailing Address

CityEast Peoria
StateIL
ZIP Code61611-2532
Phone(309) 671-8060
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1114556719 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1114556719for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1114556719 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Mental Health Counselor

Mental Health Counselors diagnose and treat mental and emotional disorders, helping clients cope with life challenges, anxiety, depression, relationship issues, and overall mental wellness.

Browse all Mental Health Counselorproviders →
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333,922
Mental Health Counselor Providers in the US

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People Also Ask

What is Ryan Kellog's NPI number?
Ryan Kellog's NPI number is 1114556719, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Ryan Kellog's NPI currently active?
Yes, Ryan Kellog's NPI status is Active as of the latest CMS NPPES database updates.
What does Ryan Kellog specialize in?
Ryan Kellog specializes in Mental Health Counselor. The healthcare taxonomy code associated with this specialty is 101YM0800X.
Where does Ryan Kellog practice?
Ryan Kellog practices in East Peoria, IL 61611-2532.
When was Ryan Kellog's NPI issued?
Ryan Kellog's NPI was issued on April 6, 2020.
What is Ryan Kellog's provider type?
Ryan Kellog is registered as an Individual Provider under CMS NPI Type 1.