Individual provider Active NPI

Leigh Bancsy, LCPC

  • Mental Health Counselor
  • Joliet, IL
National Provider Identifier
1124177753
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.004256 Issued in IL
Practice address
822 N 129TH Infantry Dr
Suite 103
Joliet, IL 60435-3105
Phone
(815) 823-8460
Fax
(815) 823-8461
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.004256 IL Primary

Addresses

Primary practice location

822 N 129TH Infantry Dr
Suite 103
Joliet, IL 60435-3105

Mailing address

822 N 129TH Infantry Dr
Suite 103
Joliet, IL 60435-3105
Phone (815) 823-8460

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
I20240118002798 IL Practitioner - Mental Health Counselor 2466800545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Center for Mental Health IncGroup PAC ID 2365447232, 16 clinicians

Practice addresses (Care Compare)

3033 W Jefferson St
Suite 107
Joliet, IL 60435-5298
Phone (815) 773-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.004256ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Center for Mental Health Inc CurrentSince Jan 1, 2024 Accepting new patients
The Sykes Group, LTD Past Accepting new patients

Locations

3033 W Jefferson St
Ste 107
Joliet, IL 60435
Phone (815) 773-0772

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1124177753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 N 129TH INFANTRY DR",
            "address_2": "SUITE 103",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353105",
            "telephone_number": "815-823-8460",
            "fax_number": "815-823-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 N 129TH INFANTRY DR",
            "address_2": "SUITE 103",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353105",
            "telephone_number": "815-823-8460",
            "fax_number": "815-823-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANCSY",
        "first_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.004256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.