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NPI Code Detail

MEDICARE: KELLIE RINEHART RICE LCPC, LTD

MEDICARE: KELLIE RINEHART RICE LCPC, LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner
2133V00000XRegistered Dietitian
3133VN1201XObesity and Weight Management Nutrition Registered Dietitian
4363L00000XNurse Practitioner
51041C0700XClinical Social Worker
6163W00000XRegistered Nurse
7101YP2500XProfessional Counselor
8204R00000XElectrodiagnostic Medicine Physician
9133N00000XNutritionist
10103TC0700XClinical Psychologist
11101YA0400XAddiction (Substance Use Disorder) Counselor
12163WM1400XNurse Massage Therapist (NMT)
13171100000XAcupuncturist
14103G00000XClinical Neuropsychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770174559
Entity Type Code : Organization
Provider Name (Legal Business Name) : KELLIE RINEHART RICE LCPC, LTD
Provider Business Mailing Address
First Line : 3209 N LAKEWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-3215
Country : US
Telephone Number : 872-274-4344
Fax Number : 866-671-9991
Provider Business Practice Location Address
First Line : 30 N MICHIGAN AVE STE 424
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3844
Country : US
Telephone Number : 312-279-9981
Fax Number : 312-279-9981
Authorized Official
Title or Position : OWNER/CLINICAL DIRECTOR
Name : KELLIE RICE
Credential : PSYD.
Telephone Number : 872-274-4344
Provider Enumeration Date : 02/03/2021
Last Update Date : 12/11/2025

Similar Medicare Providers

1891002242 — MS. KELLIE RICE PSY. D., LCPC, CGP
Practice Location Address:
30 N MICHIGAN AVE STE 424
CHICAGO, IL
60602-3844
Practice Phone: 312-279-9981
Practice Fax: 312-279-9981
1750668091 — MIND BODY CO-OP
Practice Location Address:
30 N MICHIGAN AVE STE 424
CHICAGO, IL
60602-3844
Practice Phone: 872-274-4344
Practice Fax: 866-671-9991
1346111622 — QIUCHEN SHEN
Practice Location Address:
30 N MICHIGAN AVE STE 424
CHICAGO, IL
60602-3844
Practice Phone: 872-274-4344
Practice Fax: 866-671-9991
1184256232 — BETHANY BACON LCSW
Practice Location Address:
30 N MICHIGAN AVE STE 424
CHICAGO, IL
60602-3844
Practice Phone: 312-279-9981
Practice Fax:
1083921076 — DR. BETH MARIE ELIA PSYD
Practice Location Address:
30 N MICHIGAN AVE STE 424
CHICAGO, IL
60602-3844
Practice Phone: 312-279-9981
Practice Fax: 312-332-4281
1053703603 — ANNE CARTER LCSW, CADC
Practice Location Address:
30 N MICHIGAN AVE STE 424
CHICAGO, IL
60602-3844
Practice Phone: 312-279-9981
Practice Fax: 312-279-9981

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