Individual provider Active NPI

Carol A. Coon, LCPC

  • Mental Health Counselor
  • Hinsdale, IL
National Provider Identifier
1215078266
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180001283 Issued in IL
Practice address
501 W Ogden Ave
Suite 1
Hinsdale, IL 60521-3179
Phone
(630) 653-7339
Fax
(630) 986-1477
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 180001283 IL Primary

Addresses

Primary practice location

501 W Ogden Ave
Suite 1
Hinsdale, IL 60521-3179

Mailing address

501 W Ogden Ave
Suite 1
Hinsdale, IL 60521-3179
Phone (630) 653-7339

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
I20240514001674 IL Practitioner - Mental Health Counselor 0648611228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Neurobehavioral Center PCGroup PAC ID 5395245732, 2 clinicians

Practice addresses (Care Compare)

501 W Ogden Ave
Suite 1
Hinsdale, IL 60521-3184
Phone (639) 473-4770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215078266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W OGDEN AVE",
            "address_2": "SUITE 1",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213179",
            "telephone_number": "630-653-7339",
            "fax_number": "630-986-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W OGDEN AVE",
            "address_2": "SUITE 1",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213179",
            "telephone_number": "630-653-7339",
            "fax_number": "630-986-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "CAROL",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180001283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.