LIFECORE REHAB AND COUNSELING SERVICES SC – Mental Health Counselor, NPI 1679819734

LIFECORE REHAB AND COUNSELING SERVICES SC is a healthcare provider. based in Tinley park, Illinois. specializing in Mental Health Counselor. The organization holds a License No. 036131268 (IL). The NPI Number for LIFECORE REHAB AND COUNSELING SERVICES SC is 1679819734

Main info

Organization
Name
LIFECORE REHAB AND COUNSELING SERVICES SC
NPI
1679819734
Phone
(708) 342-7076
Address
8051 186TH ST
Authorized Official
ASIM FAROOQI DIRECTOR OF OPERATIONS
Enumeration Date
18 December 2012
Last Update Date
3 October 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for LIFECORE REHAB AND COUNSELING SERVICES SC

  • 8051 186TH ST

    TINLEY PARK, IL 604879341

    Phone: (708) 342-7076

    Fax: (708) 342-7083

    Type: Mailing

  • 11536 183RD PL

    ORLAND PARK, IL 604679493

    Phone: (708) 960-4023

    Fax: (708) 991-7275

    Type: Location

  • 16410 FRONTAGE RD

    OAK FOREST, IL 60452

    Phone: (708) 960-4023

    Fax: (708) 991-7275

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20130719000307OClinic/Group PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60487)

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Reviews

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Frequently asked questions

Is there an official ID for LIFECORE REHAB AND COUNSELING SERVICES SC in U.S. healthcare records?
The official identifier for LIFECORE REHAB AND COUNSELING SERVICES SC is NPI 1679819734.
Would LIFECORE REHAB AND COUNSELING SERVICES SC appear as active to a payer?
You can treat LIFECORE REHAB AND COUNSELING SERVICES SC as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for LIFECORE REHAB AND COUNSELING SERVICES SC?
At a glance, LIFECORE REHAB AND COUNSELING SERVICES SC is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Illinois is LIFECORE REHAB AND COUNSELING SERVICES SC registered?
Use Tinley Park, Illinois as the headline location for LIFECORE REHAB AND COUNSELING SERVICES SC here.
When was this NPI issued?
Enumeration for LIFECORE REHAB AND COUNSELING SERVICES SC is noted as December 18, 2012 where the registry provides it.

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