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

Kenyetta N. Broughton-Floyd

Individual provider School Counselor · NPI 1104030139

Kenyetta N. Broughton-Floyd is a School Counselor in Park Forest, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
Specialties on file
2

Practice location Address checks out

201 Lester Rd
Park Forest, IL 60466-2013
Phone: (312) 238-9128
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence KB52980401P (IL)
School Counselor Taxonomy 101YS0200X

Record details

NPI number1104030139
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 9, 2007
Last updated in NPPESSeptember 11, 2025