Wellformed AI

NPI 1760981872 · live from the CMS NPI Registry

Keesha L Beasley, LMFT, LPC

Counselor, Professional in Chicago, IL. National Provider Identifier 1760981872, active.

NPI record

NPI1760981872 Type 1 · individual
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location820 S Damen Ave, Chicago, IL 60612
Practice phone312-569-8426
EnumeratedFebruary 4, 2018
Last updatedOctober 20, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Marriage & Family Therapist106H00000X208.000635 (IL)
Counselor, Professional primary101YP2500X178.016672 (IL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.