Matthew Tevere, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1938 E Lincoln Hwy Unit 219
New Lenox, IL 60451-3860

Phone

(815) 320-3749

NPI assigned

Nov 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Kennedy Center for Counseling, P.C.

  • Mental Health Counselor
  • New Lenox, IL
  • NPI 1538569058
  NPD (past)
• Wheaton Wellness Center, Inc.

  • Counselor
  • Wheaton, IL
  • NPI 1255807244
  NPD (past)

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1083259196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 MARILYN DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604329617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 E LINCOLN HWY UNIT 219",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513860",
            "telephone_number": "815-320-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEVERE",
        "first_name": "MATTHEW",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas John Targosz, RPH
• Irum Tariq, DDS
• Ann Marie Taylor, OTA
• Julie Ann Tenorio, LPC
• Lisha Marie Terrel, FNP-BC
• Gita Tewari, LPC
• The Behavior Squad
• The Kennedy Center for Counseling, P.C.
• Jessica L Thompson, MFT
• Lindsay Thorgesen, APN, FNP-BC

• Professional Counselor in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.