Annie Merab Arnold, LCPC
Individual provider Active NPI Professional Counselor · Forest Park, IL
NPI 1801436969 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1801436969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180012042 (IL)
- Practice address
- 8311 Roosevelt Rd
Forest Park, IL 60130-2500 - Phone
- (708) 771-7000
- NPI assigned
- Jan 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180012042 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Therapy Through the Arts | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180012042 | IL | Yes |
Addresses
Primary practice location
8311 Roosevelt Rd
Forest Park, IL 60130-2500
Mailing address
8311 Roosevelt Rd
Forest Park, IL 60130-2500
Phone (708) 771-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4175142 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | annie.arnold@uhsinc.com | Riveredge Hospital Inc |
Other providers in Forest Park, IL
- Kimberly C Anderegg
- Addie W Anderson
- Chibuzor Anyanwu
- Elisha-Rio Apilado
- Ma Rizali Aquino
- Athletic and Therapeutic Institute of Naperville, LLC
- Athletic and Therapeutic Institute of Naperville, LLC
- Rhoda Auld
- Avante Therapy Services
- Shelley Joy Bagri
All providers in Forest Park, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.