MARIAM IDEIS LPC
NPI 1396548103
Counselor - Professional in Chicago, IL

Active since March 28, 2025PECOS Enrolled
2744 W 63RD ST, CHICAGO, IL 60629(773) 434-4626 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mariam Ideis Lpc NPPES

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

MARIAM IDEIS LPC (NPI 1396548103) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178021438) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396548103
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARIAM IDEISCredential: LPC
Location Address2744 W 63RD STChicago, IL 60629-2343
Mailing Address2744 W 63rd StChicago, IL 60629-2343 · (773) 434-4626
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
NPI 1396548103 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 · 178021438
2744 W 63RD ST, Chicago, IL 60629

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mariam Ideis Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971007576
PECOS Enrollment IDI20250917002288
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

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

Clinic/Center (Federally Qualified Health Center (FQHC))
2744 W 63RD ST
CHICAGO, IL 60629
Social Worker (Clinical)
2744 W 63RD ST
CHICAGO, IL 60629
Social Worker (Clinical)
2744 W 63RD ST
CHICAGO, IL 60629
Clinic/Center (Federally Qualified Health Center (FQHC))
2744 W 63RD ST
CHICAGO, IL 60629
Counselor (Professional)
2744 W 63RD ST
CHICAGO, IL 60629
Health Educator
2744 W 63RD ST
CHICAGO, IL 60629
Family Medicine
2744 W 63RD ST
CHICAGO, IL 60629
Psychologist (Clinical)
2744 W 63RD ST, BEHAVIOR HEALTH
CHICAGO, IL 60629

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 Mariam Ideis's NPI number?

The NPI number for Mariam Ideis is 1396548103. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Mariam Ideis located?

Mariam Ideis practices at 2744 W 63rd St, Chicago, IL 60629. The listed phone number is (773) 434-4626.

What is Mariam Ideis's specialty?

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

Is Mariam Ideis enrolled in Medicare?

Yes. Mariam Ideis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariam Ideis was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.