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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 09, 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 50 days 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.