Mohammad Humayun Siddiqui, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.004213 Issued in IL

Practice address

1801 N Mill St Ste J
Naperville, IL 60563-4869

Phone

(630) 452-5409

NPI assigned

Jun 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Hugh Siddiqui Other name

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

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Center for Mental Health IncGroup PAC ID 2365447232, 16 clinicians

Practice addresses (Care Compare)

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.

• Summit Center for Mental Health Inc

  • Professional Counselor
  • Joliet, IL
  • NPI 1548274863
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1740775246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N MILL ST STE J",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N MILL ST STE J",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634869",
            "telephone_number": "630-452-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MOHAMMAD",
        "middle_name": "HUMAYUN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.004213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUGH",
            "last_name": "SIDDIQUI",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jihad Izzat Shoshara, MD
• James Paul Shrader, CPO
• Jyoti V Shringarpure
• Barbara A Shufeldt, M.D.
• Mohammed Shehan Siddiqi, MD
• Mohammed Salman Siddiqui, D.O.
• Saleem Wong Siddiqui, DDS
• Soffiya A Siddiqui
• Uzma Siddiqui, CSA
• Jennette Siebens, LCPC

• 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 Sep 11, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.