Peta Minerof, LPC is a
Counselor - Mental Health based in Northbrook, Illinois. Peta Minerof is licensed to practice in Illinois (license number 178.0017123) and her current practice location is
4201 Lake Cook Rd Ste 300, Northbrook, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 871-9900.
NPI number for Peta Minerof is 1558421438 and her current mailing address is 4201 Lake Cook Rd Ste 300, Northbrook, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558421438.
Healthcare Provider's Profile
Full Name | Peta Minerof |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 4201 Lake Cook Rd Ste 300, Northbrook, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558421438
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 02/16/2022
Medical Identifiers
Medical identifiers for Peta Minerof such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558421438 | NPI | - | NPPES |
016004669 | Other | IL | DPM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 016004669 (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | 178.0017123 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peta Minerof is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Peta Minerof, LPC 4201 Lake Cook Rd Ste 300, Northbrook, IL 60062-1060 Ph: () - | Peta Minerof, LPC 4201 Lake Cook Rd Ste 300, Northbrook, IL 60062-1060 Ph: (847) 871-9900 |
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