Individual provider Active NPI

Amina Dahleh, LCPC

  • Mental Health Counselor
  • Orland Park, IL
National Provider Identifier
1104392828
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180011842 Issued in IL
Practice address
9721 165TH St Ste 21
Orland Park, IL 60467-4511
Phone
(708) 671-8946
Fax
(708) 827-5014
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180011842 IL
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 180011842 IL Primary

Addresses

Primary practice location

9721 165TH St Ste 21
Orland Park, IL 60467-4511

Mailing address

17430 92ND Ave
Tinley Park, IL 60487-5235
Phone (708) 299-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180011842ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Finding Your Solutions Counseling and Wellness, Inc. Mental Health Current Accepting new patients

Locations

9721 165th St
Ste 21
Orland Park, IL 60467
Phone (708) 388-7500

11952 S Harlem Ave
Ste 200A
Palos Heights, IL 60463
Phone (708) 465-4066

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1104392828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17430 92ND AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604875235",
            "telephone_number": "708-299-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 165TH ST STE 21",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674511",
            "telephone_number": "708-671-8946",
            "fax_number": "708-827-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLEH",
        "first_name": "AMINA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011842",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180011842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.