KIMBERLY MYERS MA
NPI 1679428411
Counselor - Professional in Chicago, IL
Active since February 26, 2026
About Kimberly Myers Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY MYERS MA (NPI 1679428411) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180008290) and active in the NPI registry since February 2026.
NPPES Registry Identity
NPI1679428411
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY MYERSCredential: MA
Location Address2020 W HARRISON STChicago, IL 60612-3741
Mailing Address3744 N Ridgeway AveChicago, IL 60618-4012 · (773) 674-2060
Phone(773) 864-0200
Sole ProprietorYes
Enumeration DateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1679428411 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 · 180008290
2020 W HARRISON ST, Chicago, IL 60612
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.
Nurse Practitioner (Family)
2020 W HARRISON ST
CHICAGO, IL 60612
CHICAGO, IL 60612
Counselor (Addiction (Substance Use Disorder))
2020 W HARRISON ST
CHICAGO, IL 60612
CHICAGO, IL 60612
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679428411, enumerated as an "individual" on February 26, 2026.
The provider is located at 2020 W HARRISON ST CHICAGO, IL 60612 and the phone number is (773) 864-0200.
Counselor with taxonomy code 101YP2500X and a focus in Professional.