Active NPI
Mohammed Tarawneh, EDD, CADC
- Addiction (Substance Use Disorder) Counselor
- Chicago Ridge, IL
National Provider Identifier
1619484433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 10436 Southwest Hwy
Chicago Ridge, IL 60415-2282 - Phone
- (708) 444-0304
- Fax
- (708) 377-3960
- NPI assigned
- Jan 2, 2018
- Last updated
- Dec 16, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 33038 | IL | |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | IL | Primary | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 33038 | IL |
Addresses
Primary practice location
10436 Southwest Hwy
Chicago Ridge, IL 60415-2282
Mailing address
10436 Southwest Hwy
Chicago Ridge, IL 60415-2282
Phone (708) 444-0304
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 |
|---|---|---|---|
| 33038 | IL | MD | Adult Mental Health Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dui Groups LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Elevated Groups Counseling LLC | Adult Mental Health | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Addiction (Substance Use Disorder) Counselor
- Orland Park, IL
- NPI 1164397626
-
- Multi-Specialty Clinic/Center
- Chicago Ridge, IL
- NPI 1407491863
-
dba Elevated Groups Counseling
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago Ridge, IL
- NPI 1528539095
Adult Mental Health
-
- Multi-Specialty Clinic/Center
- Chicago Ridge, IL
- NPI 1700498763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1619484433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10436 SOUTHWEST HWY",
"city": "CHICAGO RIDGE",
"state": "IL",
"postal_code": "604152282",
"telephone_number": "708-444-0304",
"fax_number": "708-377-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10436 SOUTHWEST HWY",
"city": "CHICAGO RIDGE",
"state": "IL",
"postal_code": "604152282",
"telephone_number": "708-444-0304",
"fax_number": "708-377-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARAWNEH",
"first_name": "MOHAMMED",
"name_prefix": "Dr.",
"credential": "EDD, CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-02",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "IL",
"license": "33038",
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "33038",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.