KAHEA DYVONNE SAMMONS
NPI 1154821296
Counselor - Professional in Chicago, IL

Active since February 15, 2018PECOS EnrolledAccepts Medicare Assignment
2310 W ROOSEVELT RD, CHICAGO, IL 60608(312) 566-4527 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2025, Feb 15, 2018 (2 updates tracked since 2018).

About Kahea Dyvonne Sammons NPPES

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

KAHEA DYVONNE SAMMONS (NPI 1154821296) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178.013606) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154821296
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAHEA DYVONNE SAMMONS
Location Address2310 W ROOSEVELT RDChicago, IL 60608-1131
Mailing Address2310 W Roosevelt RdChicago, IL 60608-1131
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 15, 2018
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
NPI 1154821296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in IL · 178.013606 Licensed in TX · 90929
2310 W ROOSEVELT RD, Chicago, IL 60608

Secondary Practice Location 1

Location 1305 E Huntland Dr Ste 518Austin, TX 78752-3736 · Phone (888) 500-2067 · Fax (617) 649-8520

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kahea Dyvonne Sammons is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375071194
PECOS Enrollment IDI20250219003919
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Counselor (Mental Health)
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Counselor (Professional)
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Social Worker
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Social Worker (Clinical)
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Social Worker
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Counselor (Mental Health)
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Social Worker
2310 W ROOSEVELT RD, 2ND FLOOR
CHICAGO, IL 60608

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 Kahea Sammons's NPI number?

The NPI number for Kahea Sammons is 1154821296. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Kahea Sammons located?

Kahea Sammons practices at 2310 W Roosevelt Rd, Chicago, IL 60608. The listed phone number is (312) 566-4527.

What is Kahea Sammons's specialty?

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

Is Kahea Sammons enrolled in Medicare?

Yes. Kahea Sammons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kahea Sammons accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Kahea Sammons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kahea Sammons was last updated on January 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.