Dr Kyshema Jefferson, PHD, MA is a
Psychologist - Counseling based in Oswego, Illinois. Dr Kyshema Jefferson is licensed to practice in * (Not Available) (license number ) and her current practice location is
64 Main St, Oswego, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 519-1010.
NPI number for Dr Kyshema Jefferson is 1376428045 and her current mailing address is Po Box 2085, Bolingbrook, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376428045.
Healthcare Provider's Profile
Full Name | Dr Kyshema Jefferson |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 64 Main St, Oswego, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376428045
- Provider Enumeration Date: 08/11/2025
- Last Update Date: 08/14/2025
Medical Identifiers
Medical identifiers for Dr Kyshema Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376428045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyshema Jefferson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kyshema Jefferson, PHD, MA Po Box 2085, Bolingbrook, IL 60440-0073 Ph: (872) 760-4614 | Dr Kyshema Jefferson, PHD, MA 64 Main St, Oswego, IL 60543-9893 Ph: (630) 519-1010 |
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