Active NPI
Haniyyah Taufique, M.S., LCPC, NCC
- Professional Counselor
- Northbrook, IL
National Provider Identifier
1194194332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.012005
- Practice address
- 60 Revere Dr Ste 100
Northbrook, IL 60062-1590 - Phone
- (678) 464-1711
- NPI assigned
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC005092 | GA | |
| Mental Health Counselor | 101YM0800X | 178.012927 | IL | |
| Mental Health Counselor | 101YM0800X | 180.012005 | IL | |
| Professional Counselor | 101YP2500X | 180.012005 | IL | Primary |
Addresses
Primary practice location
60 Revere Dr Ste 100
Northbrook, IL 60062-1590
Mailing address
4957 Oakton Street # 255
Skokie, IL 60077-2903
Phone (872) 240-4265
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC005092 | GA | MD | Mental Health Counselor |
| 178.012927 | IL | MD | Mental Health Counselor |
| 180.012005 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Anxiety Counseling, LLC | Professional | Current | Accepting new patients |
Locations
4957 Oakton St
Skokie, IL 60077
Phone (773) 308-8934
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.
-
- Professional Counselor
- Skokie, IL
- NPI 1265045132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1194194332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4957 OAKTON STREET # 255",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772903",
"telephone_number": "872-240-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 REVERE DR STE 100",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621590",
"telephone_number": "678-464-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAUFIQUE",
"first_name": "HANIYYAH",
"credential": "M.S., LCPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-17",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC005092",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.012927",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.012005",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.012005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.