Provider Demographics
NPI:1528294451
Name:FAMILIES MATTER BEHAVIORAL HEALTH, INC.
Entity type:Organization
Organization Name:FAMILIES MATTER BEHAVIORAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-932-7679
Mailing Address - Street 1:2 MID AMERICA PLZ
Mailing Address - Street 2:SUITE 800
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4451
Mailing Address - Country:US
Mailing Address - Phone:630-932-7679
Mailing Address - Fax:630-691-0901
Practice Address - Street 1:2 MID AMERICA PLZ
Practice Address - Street 2:SUITE 800
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4451
Practice Address - Country:US
Practice Address - Phone:630-932-7679
Practice Address - Fax:630-691-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL18153101YA0400X
IL1490100641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2207910OtherCIGNA BEHAVIORAL HEALTH
237950OtherLIFESYNC
720545000OtherMAELLAN
12037244OtherMULTIPLAN
IL784852OtherAETNA
508694OtherVALUE OPTIONS
439589OtherMHN
IL208429Medicare UPIN