Kelly Katherine Sisson-Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.018328 Issued in IL

Practice address

6232 N Pulaski Rd Ste 400
Chicago, IL 60646-5133

Phone

(312) 725-3093

NPI assigned

Jun 25, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1134045925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W FARRAGUT AVE APT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402286",
            "telephone_number": "847-997-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6232 N PULASKI RD STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465133",
            "telephone_number": "312-725-3093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Michigan Ave Ste 1217",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023732",
            "country_code": "US",
            "telephone_number": "312-725-3093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISSON-SMITH",
        "first_name": "KELLY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.018328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alan L. Sisson, M.D.
• George Sisson Jr., MD
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• All providers in Chicago, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.