Kelly Canavan, LCPC
Kelly Canavan, LCPC is a Mental Health Counselor in Crystal Lake, IL, registered under NPI 1003221045.
Getting there
Here is what surrounds this office in Crystal Lake, based on OpenStreetMap data collected Sep 12, 2026. Parking is available about 0.30 mi away.
Getting here and what is nearby
Gas station Casey's General Store 382 ft ~2 min
Convenience Casey's General Store 440 ft ~2 min
Parking 0.21 mi ~5 min
Parking 0.29 mi ~6 min
Parking 0.30 mi ~7 min
Restaurant Burger King 0.37 mi ~8 min
Restaurant McDonald's 0.43 mi ~9 min
230 North Route 31, Crystal Lake 60014
04:30-22:00
Restaurant Wendy's 0.44 mi ~9 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 180.009124 | IL | Mental Health Counselor primary |
This provider holds licence 180.009124 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003221045 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 28, 2014 |
| Last updated | Aug 17, 2023 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | LCPC |
| Practice address |
650 E TERRA COTTA AVENUE UNIT 103 Crystal Lake, IL 60014 (815) 979-2580 Fax (815) 354-3517 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 2 | 1 | 0 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 2 | 2 | 0 | 8 |
Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.