Ky'Anna Haywood
Counselor, Mental Health in Merrionette Park, IL. Individual provider (NPI-1).
NPI number1962361964
StatusActive
Last updated in NPPESMar 4, 2026
Details
- NPI
- 1962361964
- Entity type
- Individual (NPI-1)
- Name
- Ky'Anna Haywood
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2026
- Certification date
- Mar 4, 2026
- Last updated
- Mar 4, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
11560 S Kedzie AveMerrionette Park, IL 60803-4517
Phone 773-395-0701
Mailing address
11560 S Kedzie AveMerrionette Park, IL 60803-4517
Phone 708-974-5800
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Mental Health Counselor providers in Merrionette Park, IL
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All 17 Mental Health Counselor providers in Merrionette Park · All 137 providers in Merrionette Park
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