Dima Dairanieh

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

137 N Oak Park Ave Ste 215
Oak Park, IL 60301-1340

Phone

(630) 474-8128

NPI assigned

Sep 7, 2012

Reactivated

Oct 28, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inner Noori LLC

  • Adult Mental Health Clinic/Center
  • Oak Park, IL
  • NPI 1093403396
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1013266857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 215",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 215",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011340",
            "telephone_number": "630-474-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIRANIEH",
        "first_name": "DIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "deactivation_date": "2014-11-18",
        "reactivation_date": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014970",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D2 Dental of Lansing, P.C.
• Dacia Medical Professional Corporation
• Iman Dahabra
• Drew Dahl
• Maria Cecilia Dahn, M.D.
• Mia Dal Santo
• Beverly Harrison Dale, MA CCC SLP
• Gentiana Dalipi
• Jerome Damasco, L.C.S.W.
• Dennisah A Dampeer

• Mental Health Counselor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.