MS. FATEME TARGOL HASANKHANI LMFT
NPI 1720324197
Marriage & Family Therapist in Chicago, IL

Active since December 12, 2012Opted out of Medicare · through Jan 1, 2028
4611 N RAVENSWOOD AVE STE 205, CHICAGO, IL 60640(773) 366-4901 Get Directions Write a Review

NPPES record last updated: December 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2023, Feb 8, 2017 (2 updates tracked since 2017).

About Ms. Fateme Targol Hasankhani Lmft NPPES

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

MS. FATEME TARGOL HASANKHANI LMFT (NPI 1720324197) is an individual marriage & family therapist in Chicago, Illinois, licensed in Illinois (208.000567) and active in the NPI registry since December 2012. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1720324197
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. FATEME TARGOL HASANKHANICredential: LMFT
Location Address4611 N RAVENSWOOD AVE STE 205Chicago, IL 60640-7577
Mailing Address4611 N Ravenswood Ave Ste 205Chicago, IL 60640-7577 · (773) 366-4901
Sole ProprietorNo
Enumeration DateDecember 12, 2012
Last NPPES UpdateDecember 17, 20232 updates tracked since enumeration
NPPES CertifiedDecember 17, 2023
NPI 1720324197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in IL · 208.000567
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4611 N RAVENSWOOD AVE STE 205, Chicago, IL 60640

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Fateme Targol Hasankhani Lmft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

Counselor (Mental Health)
4611 N RAVENSWOOD AVE STE 205
CHICAGO, IL 60640
Counselor (Professional)
4611 N RAVENSWOOD AVE STE 205
CHICAGO, IL 60640
Counselor (Professional)
4611 N RAVENSWOOD AVE STE 205
CHICAGO, IL 60640
Counselor (Mental Health)
4611 N RAVENSWOOD AVE STE 205
CHICAGO, IL 60640
Counselor (Professional)
4611 N RAVENSWOOD AVE STE 205
CHICAGO, IL 60640

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 Fateme Hasankhani's NPI number?

The NPI number for Fateme Hasankhani is 1720324197. It was assigned to this individual provider in the NPPES registry on December 12, 2012.

Where is Fateme Hasankhani located?

Fateme Hasankhani practices at 4611 N Ravenswood Ave Ste 205, Chicago, IL 60640. The listed phone number is (773) 366-4901.

What is Fateme Hasankhani's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Fateme Hasankhani enrolled in Medicare?

No. Fateme Hasankhani has opted out of Medicare through January 1, 2028. 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 Fateme Hasankhani was last updated on December 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.