Individual provider Active NPI

Patricia A. Tobias, M.A., L.C.P.C.

  • School Counselor
  • Oak Lawn, IL
National Provider Identifier
1467503789
Registry record updated Oct 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
180001425 Issued in IL
Practice address
10735 S Cicero Ave
Suite 208
Oak Lawn, IL 60453-5400
Phone
(708) 424-0001
Fax
(708) 424-1394
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180001425 IL
School Counselor 101YS0200X 180001425 IL Primary

Addresses

Primary practice location

10735 S Cicero Ave
Suite 208
Oak Lawn, IL 60453-5400

Mailing address

10735 S Cicero Ave
Suite 208
Oak Lawn, IL 60453-5400
Phone (708) 424-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 21, 2024 through Mar 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180001425ILMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Services,LTD Mental Health Past Accepting new patients
Center for Psychological Services - Oak Lawn LTD PastSince Dec 17, 2003 Accepting new patients

Organizations & group practices 2

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319846400000",
    "number": "1467503789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE",
            "address_2": "SUITE 208",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535400",
            "telephone_number": "708-424-0001",
            "fax_number": "708-424-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE",
            "address_2": "SUITE 208",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535400",
            "telephone_number": "708-424-0001",
            "fax_number": "708-424-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIAS",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180001425",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "IL",
            "license": "180001425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.