Organization Active NPI

Suna Matarieh and Associates PC

  • Professional Counselor
  • Worth, IL
National Provider Identifier
1063689404
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.006236 Issued in IL
Legal business name
SUNA MATARIEH AND ASSOCIATES PC
Practice address
7059 W 111TH St
Suite B
Worth, IL 60482-1826
Phone
(708) 557-1112
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Mrs. Sana Matarieh, L.C.P.C.
Title
Professional Counselor/President
Phone
(708) 557-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180.006236 IL Primary

Addresses

Primary practice location

7059 W 111TH St
Suite B
Worth, IL 60482-1826

Mailing address

7059 W 111TH St
Worth, IL 60482-1826
Phone (708) 557-1112

National Provider Directory

National Provider Directory

Locations

7059 W 111th St
Worth, IL 60482

7059 W 111th St
Ste B
Worth, IL 60482
Phone (708) 557-1112

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1063689404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7059 W 111TH ST",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821826",
            "telephone_number": "708-557-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7059 W 111TH ST",
            "address_2": "SUITE B",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821826",
            "telephone_number": "708-557-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNA MATARIEH AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MATARIEH",
        "authorized_official_first_name": "SANA",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR/PRESIDENT",
        "authorized_official_telephone_number": "708-557-1112",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worth, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.