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

Kennise D. Eaton

Individual provider Mental Health Counselor · NPI 1952186249

Kennise D. Eaton is a Mental Health Counselor in Homewood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

19150 Kedzie Ave
Homewood, IL 60430-4375
Phone: (708) 300-8864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 178004164 (IL)

Record details

NPI number1952186249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 26, 2023

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