Dejah Amos, MA
Individual provider Active NPI Marriage & Family Therapist · Chicago, IL
NPI 1205616299 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1205616299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 8 S Michigan Ave Ste 2300
Chicago, IL 60603-3330 - Phone
- (773) 980-9499
- NPI assigned
- Oct 5, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
24400 N 200 E Rd
Long Point, IL 61333-5037
5008 Vernon Park PL
Lisle, IL 60532-3508
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260520002159 | IL | Practitioner - Marriage and Family Therapist | 3870062755 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meghan McCarville LLC | Current |
Accepting new patients |
Locations
8 S Michigan Ave
Ste 2300
Chicago, IL 60603
Phone (312) 572-9748
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
8 S Michigan Ave Ste 2300
Chicago, IL 60603-3330
Mailing address
795 Churchill Dr
New Lenox, IL 60451-3368
Other providers in Chicago, IL
- Melinda Alisa Amornwichet
- Nikolette Amoros
- Elizabeth Mary Amoroso
- Krystal Chantal Amoroso
- Scott Michael Amoruso
- Amour-Propre Esthete Collective
- George Thomas Ampalloor
- Sheba Ampalloor
- Nicole Ampatey
- Carmela V Amplayo
All providers in Chicago, IL · Marriage & Family Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.