Individual provider Active NPI

Byron Loy, LCPC, PLPC, CRADC

  • Mental Health Counselor
  • Fairview Heights, IL
National Provider Identifier
1043426752
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180-001482 Issued in 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
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180-001482 IL Primary
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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240712001512 IL Practitioner - Mental Health Counselor 1254758394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Touchette Regional Hospital IncGroup PAC ID 7416843370, 46 clinicians

Practice addresses (Care Compare)

5900 Bond Ave
Cahokia Heights, IL 62207-2326
Phone (618) 332-3060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-001482ILMDMental Health Counselor
2003031617MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Touchette Regional Hospital Inc CurrentSince Jun 30, 2024 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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043426752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N RUBY LN",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081926",
            "telephone_number": "618-398-4226",
            "fax_number": "618-398-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N RUBY LN",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081926",
            "telephone_number": "618-398-4226",
            "fax_number": "618-398-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOY",
        "first_name": "BYRON",
        "credential": "LCPC, PLPC, CRADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-001482",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2003031617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Heights, IL

Sources for this page

Verify at the official NPI Registry.