MONIQUE CANDACE MATIC MA LPC LCPC ATR NPI 1801223011

NPI Information

NPI: 1801223011
Provider Name: MONIQUE CANDACE MATIC, MA, LPC, LCPC, ATR
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
820 W JACKSON BLVD STE 550
CHICAGO, IL
ZIP 60607
Phone: (312) 229-7256
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Monique Candace Matic, MA, LPC, LCPC, ATR is a mental health counselor in Chicago, IL. Monique Candace Matic, MA, LPC, LCPC, ATR NPI is 1801223011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

820 W JACKSON BLVD STE 550
CHICAGO, IL
ZIP 60607-053
Phone: (312) 229-7256

The enumeration date for this NPI number is 10/2/2013 and was last updated on 4/2/2014.

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	101YP2500X	Counselor	Professional	5177-125	WISCONSIN	No
2	101YM0800X	Counselor	Mental Health	180008741	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	1801223011	MEDICAID	WISCONSIN

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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