Active NPI
Kyshema Jefferson, PHD, MA
- Counseling Psychologist
- Naperville, IL
National Provider Identifier
1376428045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 400 E Diehl Rd Ste 440
Naperville, IL 60563-1358 - Phone
- (630) 225-7519
- NPI assigned
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
400 E Diehl Rd Ste 440
Naperville, IL 60563-1358
Mailing address
PO Box 2085
Bolingbrook, IL 60440-0073
Phone (630) 216-9031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1376428045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2085",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604400073",
"telephone_number": "630-216-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E DIEHL RD STE 440",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605631358",
"telephone_number": "630-225-7519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "KYSHEMA",
"name_prefix": "Dr.",
"credential": "PHD, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-11",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.