Byeol Shim

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180015217 Issued in IL

Practice address

303 W Lake St Ste 301
Addison, IL 60101-2565

Phone

(331) 221-1650

Fax

(331) 221-2710

NPI assigned

Apr 24, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mathers Clinic LLCGroup PAC ID 7214111582, 21 clinicians

Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882
  Medicare reassignment Care Compare group NPD
• Mathers Clinic LLC

  • Psychiatry Physician
  • Crystal Lake, IL
  • NPI 1316237530
  Medicare reassignment Care Compare group NPD
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• The Mathers Clinic LLC

  • Community/Behavioral Health Agency
  • Woodstock, IL
  • NPI 1316307259
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1003503699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W LAKE ST STE 301",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012565",
            "telephone_number": "331-221-1650",
            "fax_number": "331-221-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W LAKE ST STE 301",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012565",
            "telephone_number": "331-221-1650",
            "fax_number": "331-221-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4725 Calvert Dr Apt 105",
            "address_purpose": "LOCATION",
            "city": "Rolling Meadows",
            "state": "IL",
            "postal_code": "600083321",
            "country_code": "US",
            "telephone_number": "931-237-4736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 E Main St",
            "address_purpose": "LOCATION",
            "city": "East Dundee",
            "state": "IL",
            "postal_code": "601181529",
            "country_code": "US",
            "telephone_number": "847-428-2273 x105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIM",
        "first_name": "BYEOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Abdul Shakeel, D.D.S.
• Samantha Shannon, CNP
• Nichole Marie Shaw, MD
• Jill Alexandra Shepherd, APN
• Neha S Sheth, D.D.S
• Dominique Shorter
• Rajvi Shroff, DDS
• Marcia Siegal
• Amelia Sikora, MD
• Amrit Kaur Singh

• Professional Counselor in Addison, IL
• Providers in Addison, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.