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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY KATHERINE SISSON-SMITH
NPI 1134045925
Counselor - Professional in Chicago, IL

Active since June 25, 2026
6232 N PULASKI RD STE 400, CHICAGO, IL 60646(312) 725-3093 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelly Katherine Sisson-smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY KATHERINE SISSON-SMITH (NPI 1134045925) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.018328) and active in the NPI registry since June 2026. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1134045925
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY KATHERINE SISSON-SMITH
Location Address6232 N PULASKI RD STE 400Chicago, IL 60646-5133
Mailing Address1455 W Farragut Ave Apt 3eChicago, IL 60640-2286 · (847) 997-5376
Phone(312) 725-3093
Sole ProprietorNo
Enumeration DateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1134045925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.018328
6232 N PULASKI RD STE 400, Chicago, IL 60646
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Secondary Practice Location 1

Location 130 N Michigan Ave Ste 1217Chicago, IL 60602-3732 · Phone (312) 725-3093

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN S PERLMAN LCPC, NCC
Counselor (Professional)
6232 N PULASKI RD STE 400
CHICAGO, IL 60646
Cook County (847) 609-3393
ANNA PERNA
Marriage & Family Therapist
6232 N PULASKI RD STE 400
CHICAGO, IL 60646
Cook County (312) 725-3093
PETRU V ILIE LPC (IN PROCESS)
Counselor (Professional)
6232 N PULASKI RD STE 400
CHICAGO, IL 60646
Cook County (312) 725-3093
JANE CHANG
Counselor (Mental Health)
6232 N PULASKI RD STE 400
CHICAGO, IL 60646
Cook County (312) 725-3093
MARA L HUNDRIESER MA
Counselor (Mental Health)
6232 N PULASKI RD STE 400
CHICAGO, IL 60646
Cook County (312) 725-3093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Sisson-smith's NPI number?

The NPI number for Kelly Sisson-smith is 1134045925. It was assigned to this individual provider in the NPPES registry on June 25, 2026.

Where is Kelly Sisson-smith located?

Kelly Sisson-smith practices at 6232 N Pulaski Rd Ste 400, Chicago, IL 60646. The listed phone number is (312) 725-3093.

What is Kelly Sisson-smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kelly Sisson-smith was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.