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KEITT STATHEM
NPI 1972881811
Counselor - Mental Health in Chicago, IL

Active since July 26, 2011PECOS EnrolledAccepts Medicare Assignment
2459 N CLARK ST, #3, CHICAGO, IL 60614(314) 910-8915 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keitt Stathem NPPES

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

KEITT STATHEM (NPI 1972881811) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1972881811
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKEITT STATHEM
Location Address2459 N CLARK ST, #3Chicago, IL 60614-2717
Mailing Address2459 N Clark St, #3Chicago, IL 60614-2717
Phone(314) 910-8915
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 26, 2011
✔ NPI 1972881811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2459 N CLARK ST, Chicago, IL 60614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.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

Keitt Stathem 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 ID4284087693
PECOS Enrollment IDI20240201000252
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.

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 Keitt Stathem's NPI number?

The NPI number for Keitt Stathem is 1972881811. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is Keitt Stathem located?

Keitt Stathem practices at 2459 N Clark St #3, Chicago, IL 60614. The listed phone number is (314) 910-8915.

What is Keitt Stathem's specialty?

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

Is Keitt Stathem enrolled in Medicare?

Yes. Keitt Stathem 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 Keitt Stathem accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Keitt Stathem 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 Keitt Stathem was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.