Individual provider Active NPI

Diane M Bailey Yoder, LPC

  • Professional Counselor
  • Fox Lake, IL
National Provider Identifier
1063833796
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.010617 Issued in IL
Practice address
34 W Grand Ave Ste 101
Fox Lake, IL 60020-1224
Phone
(847) 322-2975
Fax
(888) 436-1636
NPI assigned
Dec 24, 2013
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10504-125 WI
Professional Counselor 101YP2500X 180.010617 IL Primary

Addresses

Primary practice location

34 W Grand Ave Ste 101
Fox Lake, IL 60020-1224

Mailing address

3402 Sweetwater LN
Johnsburg, IL 60051-5220
Phone (847) 322-2975

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
I20240221003285 IL Practitioner - Mental Health Counselor 7911253836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Bailey Behavioral Health LLCGroup PAC ID 0547681058, 4 clinicians

Practice addresses (Care Compare)

34 W Grand Ave
Suite 101
Fox Lake, IL 60020-1224
Phone (847) 322-3975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.010617ILMDProfessional Counselor
10504-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Behavioral Health, PLLC Professional CurrentSince Jan 4, 2019 Accepting new patients
Sheffer Psychological Services, PLLC CurrentSince Mar 17, 2024 Accepting new patients
Grand Oaks Behavioral Health LLC PastSince Jun 1, 2007 Accepting new patients

Locations

34 W Grand Ave
Ste 101
Fox Lake, IL 60020
Phone (847) 322-3975

Organizations & group practices 4

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": "1387843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1063833796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 SWEETWATER LN",
            "city": "JOHNSBURG",
            "state": "IL",
            "postal_code": "600515220",
            "telephone_number": "847-322-2975",
            "fax_number": "888-436-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W GRAND AVE STE 101",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201224",
            "telephone_number": "847-322-2975",
            "fax_number": "888-436-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY YODER",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-24",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10504-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox Lake, IL

Sources for this page

Verify at the official NPI Registry.