Active NPI
Kyla Shaneek O'Neal, LCPC
- Professional Counselor
- Homewood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180011202
- Practice address
- 935 175TH St Ste 300
Homewood, IL 60430 - Phone
- (414) 885-5193
- NPI assigned
- Nov 17, 2017
- Last updated
- May 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 122770 | IA | |
| Professional Counselor | 101YP2500X | 22676 | AZ | |
| Professional Counselor | 101YP2500X | 180011202 | IL | Primary |
Addresses
Primary practice location
935 175TH St Ste 300
Homewood, IL 60430
Mailing address
22923 Valley Dr
Richton Park, IL 60471-2338
Phone (708) 639-0763
Other practice location 1
405 W 35th St Apt 304
Steger, IL 60475-1475
Phone (708) 639-0763
Other practice location 2
699 Walnut St Ste 4004th
Des Moines, IA 50309-3929
Phone (415) 424-4266
Other practice location 3
111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597
Phone (415) 424-4266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1220 S Wood St
Chicago, IL 60608-1202
22923 Valley Dr
Richton Park, IL 60471-2338
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22676 | AZ | MD | Professional Counselor |
| 122770 | IA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients |
Locations
1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261
7702 Solution Ctr
Chicago, IL 60677
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Uih-Mile Square Health Center
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1669493466
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
dba UI Health Mile Square Health Center L. P. Johnson Rockford
- Federally Qualified Health Center (FQHC)
- Rockford, IL
- NPI 1306486022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1114431764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22923 VALLEY DR",
"city": "RICHTON PARK",
"state": "IL",
"postal_code": "604712338",
"telephone_number": "708-639-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 175TH ST STE 300",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "60430",
"telephone_number": "414-885-5193"
}
],
"practiceLocations": [
{
"address_1": "405 W 35th St Apt 304",
"address_purpose": "LOCATION",
"city": "Steger",
"state": "IL",
"postal_code": "604751475",
"country_code": "US",
"telephone_number": "708-639-0763",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "699 Walnut St Ste 4004th",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503093929",
"country_code": "US",
"telephone_number": "415-424-4266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 W Jackson Blvd Ste 1700",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606043597",
"country_code": "US",
"telephone_number": "415-424-4266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'NEAL",
"first_name": "KYLA",
"middle_name": "SHANEEK",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-17",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IA",
"license": "122770",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "22676",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180011202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, IL
- Nuwave Monitoring, LLC
- Nuway Incorporated (Nuway Health Systems)
- Charity Nwaru, RN, MSN
- Jori Helen O'Connor, M.A., CCC-SLP, BCBA
- Kimberly Lynn O'Hara, PHARMD
- Obsidian Holistic Services, LLC
- Ocular Partners PLLC (Arbor Centers for Eyecare)
- Adesola Odedina
- Micere Oden
- Of Sound Mind Mental Health Counseling, Life Coaching, and Consultatio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.