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NPI 1679205439ActiveOrganization· Counselor, Mental Health· Burr Ridge, IL
Counselor, Mental Health in Burr Ridge, Illinois, registered in NPPES in June 2022. The authorized official on file is Robert Foreman, Credentialing.
Overview
| NPI | 1679205439 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2022 |
| Last updated in NPPES | Aug 17, 2023 |
| Certified by provider | Aug 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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