1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Counselor
  6. NPI Profile

KIMBERLY LUCKETT
NPI 1477322626
Counselor in Chicago, IL

Active since December 29, 2023
10111 S VERNON AVE, CHICAGO, IL 60628(773) 220-9215 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Luckett NPPES

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

KIMBERLY LUCKETT (NPI 1477322626) is an individual counselor in Chicago, Illinois, licensed in Illinois (1780147127) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1477322626
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY LUCKETT
Location Address10111 S VERNON AVEChicago, IL 60628-2235
Mailing Address7715 S Cottage Grove Ave Unit 198884Chicago, IL 60619-2082 · (773) 220-9215
Phone(773) 220-9215
Sole ProprietorNo
Enumeration DateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1477322626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 1780147127
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
10111 S VERNON AVE, Chicago, IL 60628
Open in Google Maps ↗

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 Kimberly Luckett's NPI number?

The NPI number for Kimberly Luckett is 1477322626. It was assigned to this individual provider in the NPPES registry on December 29, 2023.

Where is Kimberly Luckett located?

Kimberly Luckett practices at 10111 S Vernon Ave, Chicago, IL 60628. The listed phone number is (773) 220-9215.

What is Kimberly Luckett's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Luckett was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.