# KC COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaitlyn Cornell
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518425230
- **Authorized official:** KAITLYN CORNELL LCSW (OWNER/PROVIDER)
- **Authorized official phone:** (217) 377-0299

## Contact information

- **Practice address:** 206 N RANDOLPH ST STE 508, CHAMPAIGN, IL 61820-3949
- **Practice address phone:** (217) 377-0299
- **Practice address fax:** (855) 750-3291
- **Mailing address:** 1104 W PARK AVE, CHAMPAIGN, IL 61821-3245
- **Mailing address phone:** (217) 621-0766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/12/2019
- **Last updated:** 12/16/2025