Unknown Individual – Mental Health Counselor, NPI 1164691838
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6013, Andres Avenue, Lancaster Estates, Tinley Park, Bremen Township, Cook County, Illinois, 60477, United States
TINLEY PARK, IL 604772994
Phone: (708) 903-7852
Fax: (708) 532-4586
Type: Mailing
190th Place, Mokena, Will County, Illinois, United States
SUITE 201
MOKENA, IL 604488753
Phone: (708) 903-7852
Fax: (708) 532-4586
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60477)
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