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

Keitt Stathem

Individual provider Mental Health Counselor · NPI 1972881811

Keitt Stathem is a Mental Health Counselor in Chicago, Illinois. Qualified in 2012, 14 years ago. Practices with Main Street Counseling, LLC, a 10-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2011
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Practice location Address checks out

2459 N Clark St #3
Chicago, IL 60614-2717
Phone: (314) 910-8915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1972881811
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 26, 2011
Last updated in NPPESJuly 26, 2011

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Main Street Counseling, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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