Organization Active NPI

Midland Counseling Services, PLLC

  • Professional Counselor
  • Deerfield, IL
National Provider Identifier
1245949346
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MIDLAND COUNSELING SERVICES, PLLC
Practice address
1568 Oakwood PL
Deerfield, IL 60015-2014
Phone
(847) 380-0215
NPI assigned
Nov 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tatiana MatyukhinNPI 1134747843
Title
Owner/Manager
Phone
(847) 380-0215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1568 Oakwood PL
Deerfield, IL 60015-2014

Mailing address

130 Highwood Ave
Unit #656
Highwood, IL 60040-1540
Phone (847) 380-0215

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmatyukhin@tmatmcs.com

National Provider Directory

National Provider Directory

Locations

130 Highwood Ave
Unit 656
Highwood, IL 60040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1245949346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HIGHWOOD AVE",
            "address_2": "UNIT #656",
            "city": "HIGHWOOD",
            "state": "IL",
            "postal_code": "600401540",
            "telephone_number": "847-380-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 OAKWOOD PL",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152014",
            "telephone_number": "847-380-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "MATYUKHIN",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "847-380-0215"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmatyukhin@tmatmcs.com",
            "affiliation": "N",
            "endpointDescription": "Google Workspace",
            "address_1": "130 Highwood Ave",
            "address_2": "Unit #656",
            "city": "Highwood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600401540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.