Beryl Armstrong, LCPC
Individual provider Active NPI Professional Counselor · Harvey, IL
NPI 1043755697 · NPPES record last updated Jul 18, 2024
Key facts
- NPI
- 1043755697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180010704 (IL)
- Practice address
- 31 W 155TH St
Harvey, IL 60426-3556 - Phone
- (708) 596-5177
- Fax
- (708) 339-3583
- NPI assigned
- Jan 5, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180010704 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180010704 | IL | Yes |
Addresses
Primary practice location
31 W 155TH St
Harvey, IL 60426-3556
Mailing address
31 W 155TH St
Harvey, IL 60426-3556
Phone (708) 596-5177
Other practice location 1
813 Ash St
Flossmoor, IL 60422-2213
Phone (708) 408-6983
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180010704 | Medicaid | IL |
Other providers in Harvey, IL
- Holden Andrade
- Angels Enterprise
- Angels Enterprise
- Willie Applewhite
- Arizona Radiology Imaging Consultants, PLLC
- Associated Laboratory Physicians SC
- Associated Medical Center SC
- Eyad Atieh
- Aunt Martha'S Health and Wellness, Inc.
- Aunt Martha'S Youth Service Center
All providers in Harvey, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.