Zakette Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S53099276808 Issued in IL

Practice address

3615 Park Dr
Olympia Fields, IL 60461-1186

Phone

(630) 506-6321

NPI assigned

Oct 16, 2014

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1285038463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 GORDON AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604093528",
            "telephone_number": "773-459-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 PARK DR",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611186",
            "telephone_number": "630-506-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZAKETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-16",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "S53099276808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alphonso J Slaughter Jr., MS
• Alyson Brooke Smith, DO
• Beverly Ann Smith, LCSW
• Cheri Lynn Smith, MHS-CCC SLP
• Shani Kamaria Smith, D.O., M.B.A.
• Robin Dale Snead, M.D.
• Georgia Soltau, LCPC
• Samiratou Soudre, APRN
• South Suburban Arthritis Group SC
• South Suburban Cardiology Associates, LTD.

• Mental Health Counselor in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.