Niya Smith-Wilson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4137 Sauk TRL Ste 217
Richton Park, IL 60471-1253

Phone

(708) 580-6042

NPI assigned

May 14, 2024

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soul Werk Cafe PLLC

  • Clinical Social Worker
  • Richton Park, IL
  • NPI 1750986279

  Mental Health

  NPD

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1578312419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7524 S PARNELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606201818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 SAUK TRL STE 217",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711253",
            "telephone_number": "708-580-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-WILSON",
        "first_name": "NIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Springs
• Seven Lights Psychiatry, PLLC
• Alexis Shaw
• Monica Shelton
• Monique Simmons, LCSW
• Michael J Smith, DPM
• Monica Yvette Smith, APN
• Robert B Smith, D.D.S.
• Snyder Eye Care, P.C.
• Kyle Daniel Snyder, O.D.

• Mental Health Counselor in Richton Park, IL
• Providers in Richton Park, 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 May 14, 2024; 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.