MATTHEW LIBERATORE LCPC NPI 1184180432

NPI Information

NPI: 1184180432
Provider Name: MATTHEW LIBERATORE, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1800 W GRACE ST APT 421
CHICAGO, IL
ZIP 60613
Phone: (312) 813-4024
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Matthew Liberatore, LCPC is a mental health counselor in Chicago, IL. Matthew Liberatore, LCPC NPI is 1184180432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1800 W GRACE ST APT 421
CHICAGO, IL
ZIP 60613-089
Phone: (312) 813-4024

The enumeration date for this NPI number is 2/12/2019 and was last updated on 2/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	180012021	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	180012021	OTHER	ILLINOIS	LICENSED CLINICAL PROFESSIONAL COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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