Nader F Joudeh, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180015517 Issued in IL

Practice address

1717 N Naper Blvd Ste 200
Naperville, IL 60563-8838

Phone

(708) 480-2048

Fax

(708) 480-0710

NPI assigned

Jan 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Mindset Wellness Center, PLLC

  • Professional Counselor
  • Naperville, IL
  • NPI 1780291575
  Medicare reassignment Authorized official
• Mindful Mindset Wellness Center, PLLC

  • Adult Mental Health Clinic/Center
  • Palos Hills, IL
  • NPI 1710866330
  NPD Authorized official

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1639633373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N NAPER BLVD STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638838",
            "telephone_number": "708-480-2048",
            "fax_number": "708-480-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N NAPER BLVD STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638838",
            "telephone_number": "708-480-2048",
            "fax_number": "708-480-0710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 Park St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638404",
            "country_code": "US",
            "telephone_number": "708-480-2048",
            "fax_number": "708-480-0710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOUDEH",
        "first_name": "NADER",
        "middle_name": "F",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-28",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014433",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn Josh, ACNP
• Brinda P Joshi, DO
• Januja Joshi
• Sara Jo Joslin
• John P Josupait, MD
• Irene Jovicic, D.M.D.
• Joy of Counseling PLLC
• Joyful Occupational Therapy
• JP Surgical Solutions LLC
• Jeries R Jreisat

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.