KELLY KATHERINE SISSON-SMITH
NPI 1134045925
Counselor - Professional in Chicago, IL
- Individual
- Female
- Counselor
- Professional
About KELLY SISSON-SMITH
This page provides the complete NPI Profile along with additional information for Kelly Sisson-smith, a provider established in Chicago, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1134045925 assigned on June 2026. The practitioner's primary taxonomy code is 101YP2500X with license number 180.018328 (IL). The provider is registered as an individual and her NPI record was last updated June 2026.
- NPI
- 1134045925 Verify this NPI
- Provider Name
- KELLY KATHERINE SISSON-SMITH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6232 N PULASKI RD STE 400 CHICAGO, IL 60646
- Location Phone
- (312) 725-3093
- Mailing Address
- 1455 W FARRAGUT AVE APT 3E CHICAGO, IL 60640
- Mailing Phone
- (847) 997-5376
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-25-2026
- Last Update Date
- 06-25-2026
- Code Navigator
Location Map
Secondary Locations
- 30 N Michigan Ave Ste 1217
Chicago, IL 60602
(312) 725-3093
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180.018328
- License State
- IL
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134045925, enumerated as an "individual" on June 25, 2026.
The provider is located at 6232 N PULASKI RD STE 400 CHICAGO, IL 60646 and the phone number is (312) 725-3093.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
