KYLA SHANEEK O'NEAL (LCPC) – Professional Counselor, NPI 1114431764
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,356 MENTAL HEALTH COUNSELOR in IL
Provider Addresses for KYLA SHANEEK O'NEAL (LCPC)
405 W 35th St Apt 304
Steger, IL 604751475
Phone: (708) 639-0763
Type: Location
699 Walnut St Ste 4004th
Des Moines, IA 503093929
Phone: (415) 424-4266
Type: Location
111 W Jackson Blvd Ste 1700
Chicago, IL 606043597
Phone: (415) 424-4266
Type: Location
22923, Valley Drive, Richton Park, Rich Township, Cook County, Illinois, 60471, United States
RICHTON PARK, IL 604712338
Phone: (708) 639-0763
Type: Mailing
935 175TH ST STE 300
HOMEWOOD, IL 60430
Phone: (414) 885-5193
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-06
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251006003737 | I | Mental Health Counselor | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60475)
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