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MR. JOE ROBERSON MARDIS LCPC
NPI 1346307675
Counselor - Professional in Homewood, IL

Active since January 03, 2007
1725 187TH ST, HOMEWOOD, IL 60430(708) 906-8816(708) 922-0907 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Joe Roberson Mardis Lcpc NPPES

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

MR. JOE ROBERSON MARDIS LCPC (NPI 1346307675) is an individual professional provider in Homewood, Illinois, licensed in Illinois (180-002029) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1346307675
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JOE ROBERSON MARDISCredential: LCPC
Location Address1725 187TH STHomewood, IL 60430-3853
Mailing Address1725 187th StHomewood, IL 60430-3853 · (708) 906-8816 · Fax (708) 922-0907
Phone(708) 906-8816
Fax(708) 922-0907
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346307675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180-002029
1725 187TH ST, Homewood, IL 60430
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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 Joe Mardis's NPI number?

The NPI number for Joe Mardis is 1346307675. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Joe Mardis located?

Joe Mardis practices at 1725 187th St, Homewood, IL 60430. The listed phone number is (708) 906-8816.

What is Joe Mardis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Joe Mardis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.