Active NPI
Eileen Niemiera, PHD. LC.P.C.
- Mental Health Counselor
- Oak Lawn, IL
National Provider Identifier
1477672459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180004583
- Practice address
- 10610 S Cicero Ave Ste 4
Oak Lawn, IL 60453-5298 - Phone
- (708) 364-7046
- Fax
- (708) 364-7048
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180004583 | IL | Primary |
Addresses
Primary practice location
10610 S Cicero Ave Ste 4
Oak Lawn, IL 60453-5298
Mailing address
5101 W 105TH St
Oak Lawn, IL 60453-5122
Phone (708) 278-2839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180004583 | Other | IL | BCBSIL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180004583 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1477672459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 W 105TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535122",
"telephone_number": "708-278-2839",
"fax_number": "708-422-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10610 S CICERO AVE STE 4",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535298",
"telephone_number": "708-364-7046",
"fax_number": "708-364-7048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMIERA",
"first_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "PHD. LC.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180004583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL",
"identifier": "180004583",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.