Samiha Jallouqa, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1111 N Wells St
Chicago, IL 60610-7635

Phone

(312) 573-8860

NPI assigned

Sep 23, 2017

Reactivated

Dec 6, 2022

Last updated

Dec 6, 2022By the provider in NPPES

Sex

Female

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

Opted out of Medicare

Yes, effective Dec 12, 2024 through Dec 12, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Truepath Therapy and Wellness PLLC

  • Clinical Psychologist
  • Orland Park, IL
  • NPI 1376407924
  NPD Authorized official

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1114436086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16120 MARIGOLD PL",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604874661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107635",
            "telephone_number": "312-573-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLOUQA",
        "first_name": "SAMIHA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-23",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "deactivation_date": "2019-04-01",
        "reactivation_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thor Jaleco, PHYSICIAN ASSISTANT
• Aisha Jaleel, MD
• Samah Jaleel, MD
• Jallan Meyer, LTD
• Angela Jalloh, PMHNP-BC
• Jamal Place Inc
• Jamal Place, Inc.
• Qaiser Jamal, M.D.
• Mohammad Waseem Hussein Jamaleddin, DDS, MS
• Jason Alexander Jamali, DDS, MD

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, 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 Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.