Individual provider Active NPI

Bipin Sharma, PH.D, L.C.P.C.

  • Addiction (Substance Use Disorder) Counselor
  • Joliet, IL
National Provider Identifier
1053751719
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2319 Manhattan Rd
Joliet, IL 60433-8605
Phone
(708) 223-2698
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 180008696 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

2319 Manhattan Rd
Joliet, IL 60433-8605

Mailing address

17577 Kedzie Ave
Hazel Crest, IL 60429-2051
Phone (708) 250-0520

Other practice location 1

17577 Kedzie Ave
Hazel Crest, IL 60429-2051
Phone (708) 250-0520

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
I20250922001829 IL Practitioner - Mental Health Counselor 4385148337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19506 S Hunter TRL
Mokena, IL 60448-8841

710 Shoreline Dr
Suite 101
Aurora, IL 60504-6192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
180008696ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Existential Counselors Society LTD Current Accepting new patients
Existential Counselor Society Addiction (Substance Use Disorder) CurrentSince Oct 3, 2011 Accepting new patients

Locations

1225 Richards St
Joliet, IL 60433
Phone (312) 554-5431

2319 Manhattan Rd
Joliet, IL 60433
Phone (708) 223-2698

2019 S Chicago St
Joliet, IL 60436
Phone (708) 223-2698

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053751719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17577 KEDZIE AVE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292051",
            "telephone_number": "708-250-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 MANHATTAN RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604338605",
            "telephone_number": "708-223-2698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17577 Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292051",
            "country_code": "US",
            "telephone_number": "708-250-0520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "BIPIN",
        "name_prefix": "Dr.",
        "credential": "PH.D, L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008696",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.