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NPI 1669104832ActiveOrganization· Counselor, Mental Health· Wood Dale, IL

Counselor, Mental Health in Wood Dale, Illinois, registered in NPPES in June 2022. The authorized official on file is Wajahatuddin Macci, Cfo.

Overview

NPI1669104832
StatusActive
Entity typeOrganization
NPI issuedJun 27, 2022
Last updated in NPPESJun 27, 2022
Certified by providerJun 27, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Mental Health Primary101YM0800X——
Psychologist103T00000X——
Psychologist, Addiction (Substance Use Disorder)103TA0400X——
Psychologist, Adult Development & Aging103TA0700X——
Psychologist, Cognitive & Behavioral103TB0200X——
Psychologist, Counseling103TC1900X——
Psychologist, Clinical Child & Adolescent103TC2200X——
Psychologist, Exercise & Sports103TE1100X——
Psychologist, Family103TF0000X——
Psychologist, Forensic103TF0200X——
Psychologist, Health103TH0004X——
Psychologist, Intellectual & Developmental Disabilities103TM1800X——
Psychologist, Psychoanalysis103TP0814X——
Psychologist, Group Psychotherapy103TP2701X——
Social Worker104100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Counselor, Mental Health providers in Wood Dale

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