Tatiana Matyukhin

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178014306 Issued in IL

Practice address

1701 E Lake Ave # 373
Glenview, IL 60025-2065

Phone

(847) 380-0215

Fax

(224) 300-4240

NPI assigned

Jul 9, 2020

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Midland Counseling Services, PLLC

  • Professional Counselor
  • Deerfield, IL
  • NPI 1245949346
  NPD Authorized official
• Arbor Counseling Center,LTD

  • Clinical Social Worker
  • Buffalo Grove, IL
  • NPI 1164479945
  NPD (past)

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1134747843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HIGHWOOD AVE UNIT 656",
            "city": "HIGHWOOD",
            "state": "IL",
            "postal_code": "600401586",
            "telephone_number": "847-380-0215",
            "fax_number": "224-300-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E LAKE AVE # 373",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252065",
            "telephone_number": "847-380-0215",
            "fax_number": "224-300-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATYUKHIN",
        "first_name": "TATIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178014306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Mathew, RPT
• Amanda Jean Mathews
• Jason Mattson
• Dominika N Matuzik
• Tetyana Matveyeva
• Angelica Elizabeth Mauro-Martin
• Maxim Bankevich
• May Hashimi MD S C
• Danielle Mazza
• Sammy Mazza

• Professional Counselor in Glenview, IL
• Providers in Glenview, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.