Charles Michael Ideran, D.MIN., LCPC
NPI 1265446652ActiveIndividual· Counselor, Mental Health· Oak Forest, IL
Counselor, Mental Health (D.MIN., LCPC) with Genesis Therapy Center, practicing in Oak Forest, Illinois. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1265446652 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.MIN., LCPC |
| Sole proprietor | No |
| NPI issued | Jul 28, 2006 |
| Last updated in NPPES | Dec 4, 2024 |
| Certified by provider | Dec 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | LCPC 180-001087 | IL |
| Counselor, Professional | 101YP2500X | 180001087 | IL |
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 Practitioner - Mental Health Counselor (IL) |
|---|
Education and affiliations
| Graduation year | 1981 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Genesis Therapy CenterOak Forest, IL · 5 clinicians
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