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

MS. Kenyatta Tanae Thomas

Individual provider Case Management Agency · NPI 1861049553

MS. Kenyatta Tanae Thomas is a Case Management Agency in South Holland, Illinois. Practices as a sole proprietor. Licensed in Illinois and Kentucky.

Licensed in
IL, KY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

401 E 162nd St Ste 103
South Holland, IL 60473
Phone: (773) 819-5504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X (KY)
Mental Health Counselor Taxonomy 101YM0800X (IL)

Record details

NPI number1861049553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2019
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021

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