Chicago Christian Counseling Center Inc
NPI 1083664510ActiveOrganization· Social Worker, Clinical· Orland Park, IL
Social Worker, Clinical in Orland Park, Illinois, registered in NPPES in May 2006. The authorized official on file is Amanda Kuba, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1083664510 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2006 |
| Last updated in NPPES | Sep 25, 2020 |
| Certified by provider | Sep 25, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (IN) |
|---|
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