Active NPI
Kayla K Reda
- Professional Counselor
- Chicago, IL
National Provider Identifier
1639735848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4652 N Beacon St Apt 2
Chicago, IL 60640-8293 - Phone
- (708) 704-4159
- NPI assigned
- May 13, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4652 N Beacon St Apt 2
Chicago, IL 60640-8293
Mailing address
4652 N Beacon St Apt 2
Chicago, IL 60640-8293
Other practice location 1
300 W Adams St Ste 514
Chicago, IL 60606-5108
Phone (312) 578-9990
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slowly, Surely PLLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1962131177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1639735848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4652 N BEACON ST APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606408293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4652 N BEACON ST APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606408293",
"telephone_number": "708-704-4159"
}
],
"practiceLocations": [
{
"address_1": "300 W Adams St Ste 514",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606065108",
"country_code": "US",
"telephone_number": "312-578-9990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDA",
"first_name": "KAYLA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.