Provider Demographics
NPI:1447820717
Name:OBERHAUSER, MEGAN ROSE (LCPC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ROSE
Last Name:OBERHAUSER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 WINDY KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-2031
Mailing Address - Country:US
Mailing Address - Phone:224-828-5696
Mailing Address - Fax:
Practice Address - Street 1:3100 W HIGGINS RD STE 190
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-7252
Practice Address - Country:US
Practice Address - Phone:847-232-6137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.015964101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional