Demetria Agharese, MA, LPC
Counselor, Professional in Roselle, IL. Individual provider (NPI-1).
NPI number1669916565
StatusActive
Last updated in NPPESOct 18, 2023
Details
- NPI
- 1669916565
- Entity type
- Individual (NPI-1)
- Name
- Demetria Agharese
- Credential
- MA, LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2016
- Certification date
- Oct 18, 2023
- Last updated
- Oct 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401013625 | MI | Yes |
| 101Y00000X | Counselor | 6401013625 | MI | |
| 101YM0800X | Counselor, Mental Health | 6401013625 | MI |
Practice location
286 Regal CtRoselle, IL 60172-4714
Phone 313-377-7456
Mailing address
286 Regal CtRoselle, IL 60172-4714
Phone 313-377-7456
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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