Individual provider Active NPI

Kailey Bocanegra, LCPC

  • Counselor
  • Saint Charles, IL
National Provider Identifier
1083155378
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2560 Foxfield Rd Ste 310
Saint Charles, IL 60174-5731
Phone
(630) 808-3847
Fax
(815) 844-3561
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2560 Foxfield Rd Ste 310
Saint Charles, IL 60174-5731

Mailing address

2560 Foxfield Rd Ste 310
Saint Charles, IL 60174-5731
Phone (630) 808-3847

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
I20260107001148 IL Practitioner - Mental Health Counselor 1456837756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consider Yourself Counseling Services P CGroup PAC ID 0547765646, 8 clinicians

Practice addresses (Care Compare)

2560 Foxfield Rd
Suite 320
Saint Charles, IL 60174-5731
Phone 63022273751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Consider Yourself Counseling Services P C CurrentSince Oct 17, 2025 Accepting new patients

Locations

2560 Foxfield Rd
Ste 320
St Charles, IL 60174
Phone (630) 222-7375

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1083155378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 FOXFIELD RD STE 310",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601745731",
            "telephone_number": "630-808-3847",
            "fax_number": "630-808-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 FOXFIELD RD STE 310",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601745731",
            "telephone_number": "630-808-3847",
            "fax_number": "815-844-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCANEGRA",
        "first_name": "KAILEY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, IL

Sources for this page

Verify at the official NPI Registry.