SAMIHA JALLOUQA M.A.
NPI 1114436086
Counselor - Mental Health in Chicago, IL

Active since September 23, 2017Opted out of Medicare · through Dec 12, 2026
1111 N WELLS ST, CHICAGO, IL 60610(312) 573-8860 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Sep 23, 2017 (2 updates tracked since 2017).

About Samiha Jallouqa M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMIHA JALLOUQA M.A. (NPI 1114436086) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since September 2017. She has opted out of Medicare through December 12, 2026.

NPPES Registry Identity

NPI1114436086
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMIHA JALLOUQACredential: M.A.
Location Address1111 N WELLS STChicago, IL 60610-7635
Mailing Address16120 Marigold PlOrland Hills, IL 60487-4661
Sole ProprietorNo
Enumeration DateSeptember 23, 2017
Last NPPES UpdateDecember 6, 20222 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
NPI 1114436086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1111 N WELLS ST, Chicago, IL 60610

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Samiha Jallouqa M.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 12, 2024 through December 12, 2026.

Opt-Out Effective DateDecember 12, 2024
Opt-Out In Effect ThroughDecember 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1111 N WELLS ST
CHICAGO, IL 60610
Occupational Therapist
1111 N WELLS ST, 500
CHICAGO, IL 60610
Counselor (Mental Health)
1111 N WELLS ST, 400
CHICAGO, IL 60610
Counselor (Mental Health)
1111 N WELLS ST
CHICAGO, IL 60610
Counselor
1111 N WELLS ST, SUITE 400
CHICAGO, IL 60610
Psychologist (Clinical)
1111 N WELLS ST
CHICAGO, IL 60610
Counselor (Mental Health)
1111 N WELLS ST, SUITE 400
CHICAGO, IL 60610
Community/Behavioral Health
1111 N WELLS ST, SUITE 400
CHICAGO, IL 60610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samiha Jallouqa's NPI number?

The NPI number for Samiha Jallouqa is 1114436086. It was assigned to this individual provider in the NPPES registry on September 23, 2017.

Where is Samiha Jallouqa located?

Samiha Jallouqa practices at 1111 N Wells St, Chicago, IL 60610. The listed phone number is (312) 573-8860.

What is Samiha Jallouqa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Samiha Jallouqa enrolled in Medicare?

No. Samiha Jallouqa has opted out of Medicare through December 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Samiha Jallouqa was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.