Active NPI
Mahum Ayaz Deamantopulos, LSW
- Social Worker
- Dekalb, IL
National Provider Identifier
1487386744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.116085
- Practice address
- 1500 E Lincoln Hwy Ste a
Dekalb, IL 60115-3990 - Phone
- (779) 201-8006
- NPI assigned
- Jun 27, 2022
- Last updated
- May 20, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.116085 | IL | Primary |
Addresses
Primary practice location
1500 E Lincoln Hwy Ste a
Dekalb, IL 60115-3990
Mailing address
1500 E Lincoln Hwy Ste a
Dekalb, IL 60115-3990
Phone (779) 201-8006
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 |
|---|---|---|---|
| 150.116085 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Solutions: Integrative Healing & Well Being LLC | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Life Solutions
- Mental Health Counselor
- Dekalb, IL
- NPI 1720462799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1487386744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E LINCOLN HWY STE A",
"city": "DEKALB",
"state": "IL",
"postal_code": "601153990",
"telephone_number": "779-201-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E LINCOLN HWY STE A",
"city": "DEKALB",
"state": "IL",
"postal_code": "601153990",
"telephone_number": "779-201-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAMANTOPULOS",
"first_name": "MAHUM",
"middle_name": "AYAZ",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.116085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dekalb, IL
- David Manuel MD SC (Gastrointestinal Health Institute)
- Anne Devine Davidson, M.A., CCC-SLP
- Muhammad Asim Anis Dayala, MD
- Dori De la Cruz, LCSW
- Ariana De Neveu, BCBA
- Katherine Dean, RDN
- Brooke Elizabeth Deeringer
- Suzanne Elizabeth Degges-White, PHD, LCPC, LMHC, LCM
- Dekalb Area Retirement Center
- Dekalb Behavioral Health Foundation, Inc. (Northwestern Medicine Ben Gordon Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.