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KENNISE D. EATON
NPI 1952186249
Counselor - Mental Health in Homewood, IL

Active since August 28, 2023
19150 KEDZIE AVE, HOMEWOOD, IL 60430(708) 300-8864 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kennise D. Eaton NPPES

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

KENNISE D. EATON (NPI 1952186249) is an individual mental health provider in Homewood, Illinois, licensed in Illinois (178004164) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1952186249
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENNISE D. EATON
Location Address19150 KEDZIE AVEHomewood, IL 60430-4375
Mailing Address19150 Kedzie AveHomewood, IL 60430-4375 · (708) 300-8864
Phone(708) 300-8864
Sole ProprietorYes
Enumeration DateAugust 28, 2023
NPPES CertifiedAugust 26, 2023
✔ NPI 1952186249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178004164
19150 KEDZIE AVE, Homewood, IL 60430
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

LAUREN ROSE
Behavior Technician
19150 KEDZIE AVE
HOMEWOOD, IL 60430
Cook County (312) 478-8467
ALMUQTADIR INC.
Pediatrics
19150 KEDZIE AVE, SUITE 100
HOMEWOOD, IL 60430
Cook County (708) 798-1665
LAWANDA THOMAS MA, LPC
Counselor (Professional)
19150 KEDZIE AVE
HOMEWOOD, IL 60430
Cook County (708) 300-9643
LILA KAYALI
Behavior Analyst
19150 KEDZIE AVE
HOMEWOOD, IL 60430
Cook County (312) 478-8467
ALEXANDRIA WALKER
Behavior Technician
19150 KEDZIE AVE
HOMEWOOD, IL 60430
Cook County (312) 478-8467
KYRRAH YOUNG
Behavior Technician
19150 KEDZIE AVE
HOMEWOOD, IL 60430
Cook County (312) 478-8467
SHARETHA HERROD
Behavior Technician
19150 KEDZIE AVE
HOMEWOOD, IL 60430
Cook County (312) 478-8467

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 Kennise Eaton's NPI number?

The NPI number for Kennise Eaton is 1952186249. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Kennise Eaton located?

Kennise Eaton practices at 19150 Kedzie Ave, Homewood, IL 60430. The listed phone number is (708) 300-8864.

What is Kennise Eaton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kennise Eaton was last updated on August 28, 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.