DEMETRIA AGHARESE MA, LPC
NPI 1669916565
Counselor - Professional in Roselle, IL
About Demetria Agharese Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEMETRIA AGHARESE MA, LPC (NPI 1669916565) is an individual professional provider in Roselle, Illinois, licensed in Michigan (6401013625) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Demetria Agharese Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Demetria Agharese reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wichita, KS 67202
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Sondermind PA
- 56 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Colorado, Connecticut, Georgia and Ohio enrollments
- 940 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Colorado, Connecticut, Florida, Georgia, Michigan and Ohio enrollments
- 504 clinicians in this Medicare group
San Jose, CA 95119
- Reassigned Medicare billing, Illinois enrollment
- 106 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.
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 Demetria Agharese's NPI number?
The NPI number for Demetria Agharese is 1669916565. It was assigned to this individual provider in the NPPES registry on December 12, 2016.
Where is Demetria Agharese located?
Demetria Agharese practices at 286 Regal Ct, Roselle, IL 60172. The listed phone number is (313) 377-7456.
What is Demetria Agharese's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Demetria Agharese enrolled in Medicare?
Yes. Demetria Agharese is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Demetria Agharese's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Demetria Agharese reassigns Medicare benefits to 4 organizations: Sondermind, P.A. (Wichita, KS), Sondermind Provider Network LLC (Denver, CO), Grow Healthcare Group PA (Miami, FL) and Sondermind PC (San Jose, CA). Each 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 Demetria Agharese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Demetria Agharese accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Demetria Agharese as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Demetria Agharese was last updated on October 18, 2023. 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.
# Demetria Agharese, MA, LPC · NPI 1669916565
Professional provider in Roselle, Illinois. Individual provider, active in the CMS NPPES registry since December 12, 2016.
## Identity
- **NPI:** 1669916565 (Entity type: Individual)
- **Enumerated:** December 12, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401013625 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 286 REGAL CT, Roselle, IL 60172-4714
- **Phone:** (313) 377-7456
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sondermind, P.A. (NPI 1710647581, Wichita, KS); Sondermind Provider Network LLC (NPI 1760854442, Denver, CO); Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Sondermind PC (NPI 1003646977, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669916565) · Data from the CMS NPPES public registry.