Byron Loy, LCPC, PLPC, CRADC
Individual provider Active NPI Mental Health Counselor · Fairview Heights, IL
NPI 1043426752 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043426752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 180-001482 (IL)
- Practice address
- 125 N Ruby LN
Fairview Heights, IL 62208-1926 - Phone
- (618) 398-4226
- Fax
- (618) 398-1759
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Touchette Regional Hospital Inc
Practice addresses (Care Compare)
5900 Bond Ave
Cahokia Heights, IL 62207-2326
Phone (618) 332-3060
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 |
|---|---|---|---|---|
| I20240712001512 | IL | Practitioner - Mental Health Counselor | 1254758394 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-001482 | IL | MD | Mental Health Counselor |
| 2003031617 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touchette Regional Hospital Inc | Current |
Accepting new patients | |
| Agape Christian Counseling Services | Past | Accepting new patients |
Locations
2 Memorial Dr
Ofc
Alton, IL 62002
Phone (618) 332-4081
5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060
2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473
1836 Lackland Hill Pkwy
Saint Louis, MO 63146
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180-001482 | IL | Yes |
| Mental Health Counselor | 101YM0800X | 2003031617 | MO |
Addresses
Primary practice location
125 N Ruby LN
Fairview Heights, IL 62208-1926
Mailing address
125 N Ruby LN
Fairview Heights, IL 62208-1926
Phone (618) 398-4226
Other providers in Fairview Heights, IL
- Kara M Littlejohn
- Gabrielle Locke
- Haili Elizabeth Loftin
- Rachel Logan
- Nicole Lopez
- Claire Luetkemeyer
- Luxottica of America Inc.
- Luxottica of America Inc.
- Jane E. Macgreevy
- Mary Margaret Madras
All providers in Fairview Heights, IL · Mental Health 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 8, 2007. 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.