Individual provider Active NPI

Courtney Leigh Prather

  • Clinical Social Worker
  • Urbana, IL
National Provider Identifier
1053199091
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.108071 Issued in IL
Practice address
2001 Philo Rd
Urbana, IL 61802-8007
Phone
(217) 552-1211
NPI assigned
Sep 20, 2023
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 150.108071 IL Primary

Addresses

Primary practice location

2001 Philo Rd
Urbana, IL 61802-8007

Mailing address

2001 Philo Rd
Urbana, IL 61802-8007
Phone (217) 552-1211

Other names 1

  • Court Leigh Prather Professional name

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
I20251204003184 IL Practitioner - Clinical Social Worker 1951893197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin Elliott Counseling PCGroup PAC ID 0143226860, 12 clinicians

Practice addresses (Care Compare)

2001 Philo Rd
Urbana, IL 61802-8007
Phone (217) 398-9066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.108071ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Elliott Counseling PC CurrentSince Sep 14, 2025 Accepting new patients

Locations

2001 Philo Rd
Urbana, IL 61802
Phone (217) 552-1211

Organizations & group practices 1

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1053199091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PHILO RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618028007",
            "telephone_number": "217-552-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PHILO RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618028007",
            "telephone_number": "217-552-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "COURTNEY",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.108071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURT",
            "last_name": "PRATHER",
            "middle_name": "LEIGH",
            "credential": "LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.