Blue Pearl Counseling LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BLUE PEARL COUNSELING LLC

Practice address

825 W State St Ste 103D
Geneva, IL 60134-2078

Phone

(331) 223-0330

Fax

(630) 528-0775

NPI assigned

Nov 20, 2019

Organization subpart

No

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

Authorized official

Name

Maryann Dematthews, MS LMFTNPI 1720402845

Title

Sole Owner, Administrator

Phone

(331) 223-0330

Specialties & licenses 1

Addresses

Other names 1

• Blue Pearl Counseling LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Maryann Dematthews, MS, LMFT

  • Marriage & Family Therapist
  • Geneva, IL
  • NPI 1720402845
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1811533318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W STATE ST STE 103D",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W STATE ST STE 103D",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342078",
            "telephone_number": "331-223-0330",
            "fax_number": "630-528-0775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4151 E Quarterhorse Pl",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857399641",
            "country_code": "US",
            "telephone_number": "331-223-0330",
            "fax_number": "630-528-0775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE PEARL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "DEMATTHEWS",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "SOLE OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "331-223-0330",
        "authorized_official_credential": "MS LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Pearl Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven J. Bielski, M.D.
• Dean Paul Bieniak, PA-C
• Colleen Bird, PA
• Colleen M Blake, LCPC
• Sarah Lyn Bliss, LPC
• Kimberly Katherine Boatner, LCSW, CADC
• Jodi Lyn Boe, M.S., CCC/SLP
• Christine Boecke
• William Charles Bogar, DC DACBR
• Jeffrey H Bohmer, M.D.

• Marriage & Family Therapist in Geneva, IL
• Providers in Geneva, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.