Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Michael Ideran, DMIN, LCPC

Individual provider Professional Counselor · NPI 1265446652

Charles Michael Ideran, DMIN, LCPC is a Mental Health Counselor in Oak Forest, Illinois. Qualified in 1981, 45 years ago. Practices with Genesis Therapy Center, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
45
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6006 W 159th St Bldg C
Oak Forest, IL 60452
Phone: (708) 535-7320
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC 180-001087 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 180001087 (IL)

Record details

NPI number1265446652
Entity typeIndividual (Type 1)
GenderMale
Credentials DMIN , LCPC
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Genesis Therapy Center — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oak Forest