Families Matter Behavioral Health, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149010064 Issued in IL

Legal business name

FAMILIES MATTER BEHAVIORAL HEALTH, INC.

Practice address

2 Mid America PLZ
Suite 800
Oakbrook Terrace, IL 60181-4451

Phone

(630) 932-7679

Fax

(630) 691-0901

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Dea Marie Johnson, LCSWNPI 1194838664

Title

Clinical Director/Practitioner

Phone

(630) 932-7679

Specialties & licenses 2

Addresses

Other identifiers 7

Practitioners 1

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

• Dea Marie Johnson, LCSW, CADC, SAP

  • Addiction (Substance Use Disorder) Counselor
  • Oakbrook Terrace, IL
  • NPI 1194838664
  NPD (past) Authorized official

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1528294451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MID AMERICA PLZ",
            "address_2": "SUITE 800",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814451",
            "telephone_number": "630-932-7679",
            "fax_number": "630-691-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MID AMERICA PLZ",
            "address_2": "SUITE 800",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814451",
            "telephone_number": "630-932-7679",
            "fax_number": "630-691-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIES MATTER BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/PRACTITIONER",
        "authorized_official_telephone_number": "630-932-7679",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "18153",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2207910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFESYNC",
            "identifier": "237950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAELLAN",
            "identifier": "720545000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12037244",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "784852",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "508694",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "439589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.