Barbara Myers, LCSW

Individual provider Active NPI Mental Health Counselor · Tilton, IL

NPI 1174058044 · NPPES record last updated Dec 24, 2025

Key facts

NPI
1174058044
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1002 Glendale Ave Apt 4
Tilton, IL 61833-7973
Phone
(447) 305-5430
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210311000806 IL Practitioner - Clinical Social Worker 7315353604 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Keri Powell Therapy Inc Mental Health Current
since Mar 9, 2021
Accepting new patients
Serenity & Grace Therapy LLC Current
since Dec 28, 2025
Accepting new patients

Locations

2125 S Neil St
Champaign, IL 61820
Phone (217) 356-3736

7 Dunlap Ct
Savoy, IL 61874
Phone (217) 203-2008

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1002 Glendale Ave Apt 4
Tilton, IL 61833-7973

Mailing address

1002 Glendale Ave Apt 4
Tilton, IL 61833-7973
Phone (447) 305-5430

Other practice location 1

7 Dunlap Ct
Savoy, IL 61874-9501
Phone (217) 352-0200

Other practice location 2

750 Broadway Ave E
Mattoon, IL 61938-4610
Phone (217) 238-5700

Other names

  • Barbara Shelton Former name

Other providers in Tilton, IL

All providers in Tilton, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.