Active NPI
Deborah A Mitchell, LMFT
- Marriage & Family Therapist
- Orland Park, IL
National Provider Identifier
1922330232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35001688A
- Practice address
- 15127 S 73Rd Ave Ste G
Orland Park, IL 60462-3425 - Phone
- (708) 845-5500
- Fax
- (708) 845-5505
- NPI assigned
- Feb 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 35001688A | IN | Primary |
Addresses
Primary practice location
15127 S 73Rd Ave Ste G
Orland Park, IL 60462-3425
Mailing address
15127 S 73Rd Ave Ste G
Orland Park, IL 60462-3425
Phone (708) 845-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250604000233 | IN | Practitioner - Marriage and Family Therapist | 6608385380 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
962 W US Hwy 30
Unit 8
Schererville, IN 46375-1551
Phone (708) 845-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35001688A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Christian Counseling Center Inc | Current | Accepting new patients |
Locations
15127 S 73rd Ave
Ste G
Orland Park, IL 60462
Phone (630) 990-1935
962 W US Highway 30
Unit 8
Schererville, IN 46375
Phone (219) 864-4363
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1922330232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15127 S 73RD AVE STE G",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623425",
"telephone_number": "708-845-5500",
"fax_number": "708-845-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15127 S 73RD AVE STE G",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623425",
"telephone_number": "708-845-5500",
"fax_number": "708-845-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "DEBORAH",
"middle_name": "A",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-11",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001688A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.