Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kahea Dyvonne Sammons

Individual provider Professional Counselor · NPI 1154821296

Kahea Dyvonne Sammons is a Mental Health Counselor in Chicago, Illinois. Qualified in 2017, 9 years ago. Practices with Brightside Medical PA, a 95-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Texas.

Years since qualifying
9
Licensed in
IL, TX
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2310 W Roosevelt Rd
Chicago, IL 60608-1131
Phone: (312) 566-4527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 305 E Huntland Dr Ste 518, Austin, TX 78752-3736 — (888) 500-2067

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178.013606 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 90929 (TX)

Record details

NPI number1154821296
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 15, 2018
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Brightside Medical Pa — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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