Keara Zaneta Enoch, LCPC, CADC, MAATP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.009782 Issued in IL

Practice address

1 Westbrook Corporate Ctr Ste 300
Westchester, IL 60154-5709

Phone

(872) 356-6466

NPI assigned

Jan 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• All Parts Seen

  • Mental Health Counselor
  • Westchester, IL
  • NPI 1437891249

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1972841708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W 25TH ST # 269",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461409",
            "telephone_number": "872-356-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTBROOK CORPORATE CTR STE 300",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545709",
            "telephone_number": "872-356-6466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2404 E 79th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606495112",
            "country_code": "US",
            "telephone_number": "312-702-0121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 W Harrison St",
            "address_2": "4th Fl",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123741",
            "country_code": "US",
            "telephone_number": "312-572-4680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENOCH",
        "first_name": "KEARA",
        "middle_name": "ZANETA",
        "name_prefix": "Miss",
        "credential": "LCPC, CADC, MAATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "29332",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Westchester, IL
• Providers in Westchester, 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, 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.

Verify at the official NPI Registry.