Individual provider Active NPI

Baheia Allan Ahmad-Derweesh

  • Professional Counselor
  • Orland Park, IL
National Provider Identifier
1164587432
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180001623 Issued in IL
Practice address
11227 Distinctive
Orland Park, IL 60467
Phone
(708) 250-5161
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 180001623 IL Primary
Mental Health Counselor 101YM0800X 180001623 IL

Addresses

Primary practice location

11227 Distinctive
Orland Park, IL 60467

Mailing address

8051 McVicker Ave
Burbank, IL 60459-1907
Phone (708) 250-5161

Other practice location 1

30 N Michigan Ave Ste 424
Chicago, IL 60602-3844
Phone (872) 274-4344

Other names 1

  • Baheia Ahmad Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180001623ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Co-Op Mental Health PastSince Oct 1, 2022 Accepting new patients
Psychology Specialists LTD Past Accepting new patients
Mind Body Co-Op Professional PastSince Feb 7, 2021 Accepting new patients

Organizations & group practices 3

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1164587432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 MCVICKER AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591907",
            "telephone_number": "708-250-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 DISTINCTIVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-250-5161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Michigan Ave Ste 424",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023844",
            "country_code": "US",
            "telephone_number": "872-274-4344",
            "fax_number": "866-671-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD-DERWEESH",
        "first_name": "BAHEIA",
        "middle_name": "ALLAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001623",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180001623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAHEIA",
            "last_name": "AHMAD",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.