Organization
KC COUNSELING, LLC
Active
Parent organization
KC COUNSELING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KC COUNSELING LLC
Authorized official
KAITLYN CORNELL LCSW, CEDS-S (CEO)
(217) 621-0766
Entity
Organization
Contact information
Practice address
313 N MATTIS AVE STE 209, CHAMPAIGN, IL 61821-2461
(217) 621-0766
Mailing address
203 FLORA DR, CHAMPAIGN, IL 61821-3212
(217) 621-0766
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/30/2025
Last updated
12/13/2025
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