MEDICARE: KESHIA L SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	180.014731	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1134994171	OTHER	IL	NPI 2

General Provider Information

NPI Number	:	1265907869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KESHIA L SMITH

Provider Business Mailing Address
First Line	:	2944 W MONTROSE AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1485
Country	:	US
Telephone Number	:	312-725-6403
Fax Number	:

Provider Business Practice Location Address
First Line	:	2944 W MONTROSE AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1485
Country	:	US
Telephone Number	:	312-725-6403
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2018
Last Update Date	:	12/20/2023

Similar Medicare Providers

1134994171 — STILL COUNSELING & WELLNESS, LLC
Practice Location Address:

2944 W MONTROSE AVE APT 3
CHICAGO, IL
60618-1485

Practice Phone: 312-725-6403
Practice Fax:

1669316154 — TAYS NATALY SALAZAR CARRANZA
Practice Location Address:

3820 N SPAULDING AVE
CHICAGO, IL
60618-4413

Practice Phone: 773-433-5000
Practice Fax:

1447101886 — LAURA PERELMAN PSYCHOTHERAPY PLLC
Practice Location Address:

4312 N LINCOLN AVE
CHICAGO, IL
60618-1712

Practice Phone: 773-273-9345
Practice Fax:

1194667758 — MADELEINE ROSE RAUSCH RDH
Practice Location Address:

2896 N MILWAUKEE AVE
CHICAGO, IL
60618-7413

Practice Phone: 773-295-6439
Practice Fax:

1003653684 — RACHEL KAZEZ THERAPY, PLLC
Practice Location Address:

2650 W MONTROSE AVE STE 305
CHICAGO, IL
60618-1561

Practice Phone: 312-547-1021
Practice Fax:

1053663559 — RACHEL KAZEZ
Practice Location Address:

2650 W MONTROSE AVE STE 305
CHICAGO, IL
60618-1561

Practice Phone: 312-547-1021
Practice Fax:

Directions to “ KESHIA L SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.