Megan Boehning
Individual provider Active NPI Professional Counselor · Sycamore, IL
NPI 1043048259 · NPPES record last updated Jul 22, 2024
Key facts
- NPI
- 1043048259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180016248 (IL)
- Practice address
- 1625 Bethany Rd
Sycamore, IL 60178-3124 - Phone
- (779) 777-7335
- NPI assigned
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Services in Health Psychology, LTD
Practice addresses (Care Compare)
1625 Bethany Rd
Sycamore, IL 60178-3124
Phone (779) 777-7335
2540 Hauser Ross Dr
Suite 225
Sycamore, IL 60178-3176
Phone (815) 758-8400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240817000669 | IL | Practitioner - Mental Health Counselor | 1153869433 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Services in Health Psychology, LTD | Current |
Accepting new patients | |
| Three Birds Mental Health Services PLLC | Past | Accepting new patients |
Locations
2540 Hauser Ross Dr
Ste 225
Sycamore, IL 60178
Phone (815) 758-8400
1625 Bethany Rd
Sycamore, IL 60178
Phone (779) 777-7335
1625 Bethany Rd
Ste 1
Sycamore, IL 60178
Phone (779) 777-7335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180016248 | IL | Yes |
Addresses
Primary practice location
1625 Bethany Rd
Sycamore, IL 60178-3124
Mailing address
1625 Bethany Rd
Sycamore, IL 60178-3124
Phone (779) 777-7335
Other providers in Sycamore, IL
- Erin Blair
- Bloom Women'S Counseling, LLC
- Magdalena Boba
- Madilin Bodine
- Russell Jeffrey Bodner
- Jesse Boelter
- Susan Louise Bogue
- Jennifer Booth
- Braden Counseling Center, P.C.
- Jayne A. Braden
All providers in Sycamore, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.