MARIAM IDEIS LPC
NPI 1396548103
Counselor - Professional in Chicago, IL
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.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mariam Ideis Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mariam Ideis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60629
- Reassigned Medicare billing, Illinois enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
CHICAGO, IL 60629
CHICAGO, IL 60629
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.
Which organization bills Medicare for Mariam Ideis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Ideis reassigns Medicare benefits to Inner-City Muslim Action Network (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariam Ideis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mariam Ideis was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Mariam Ideis, LPC · NPI 1396548103
Professional provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 28, 2025.
## Identity
- **NPI:** 1396548103 (Entity type: Individual)
- **Enumerated:** March 28, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178021438 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2744 W 63RD ST, Chicago, IL 60629-2343
- **Phone:** (773) 434-4626
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Inner-City Muslim Action Network (NPI 1003244567, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396548103) · Data from the CMS NPPES public registry.