MR. MATTHEW GERARD MYER LCPC NCC NPI 1386912335

NPI Information

NPI: 1386912335
Provider Name: MR. MATTHEW GERARD MYER, LCPC, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4305 N LINCOLN AVE
CHICAGO, IL
ZIP 60618
Phone: (773) 558-0241
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MR. Matthew Gerard Myer, LCPC, NCC is a mental health counselor in Chicago, IL. MR. Matthew Gerard Myer, LCPC, NCC NPI is 1386912335. 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:

4305 N LINCOLN AVE
CHICAGO, IL
ZIP 60618-711
Phone: (773) 558-0241
Fax: (773) 775-6246

The enumeration date for this NPI number is 12/6/2011 and was last updated on 12/6/2011.

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	180.003397	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	45-3813954	OTHER		EMPLOYER IDENTIFICATION NUMBER
2	180.003397	OTHER	ILLINOIS	STATE OF ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION: LICENSED PROFES

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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