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

Kenyetta N. Broughton-Floyd

Individual provider School Counselor · NPI 1104030139

Kenyetta N. Broughton-Floyd is a School Counselor in Park Forest, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
Specialties on file
2

Practice location Address checks out

201 Lester Rd
Park Forest, IL 60466-2013
Phone: (312) 238-9128
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence KB52980401P (IL)
School Counselor Taxonomy 101YS0200X

Record details

NPI number1104030139
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 9, 2007
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 992, Park Forest, IL 60466-0992