Beth Anne Aussem, LCPC
Individual provider Active NPI Professional Counselor · Ottawa, IL
NPI 1275619645 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275619645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 1100 E Norris Drive
Ottawa, IL 61350-3678 - Phone
- (815) 434-4382
- Fax
- (815) 431-5528
- NPI assigned
- Oct 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Osf Multi-Specialty Group
Ottawa Regional Hospital and Healthcare Center
Practice addresses (Care Compare)
1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 433-3100
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Osf Saint Elizabeth MDL Ctr
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109003101 | IL | Practitioner - Mental Health Counselor | 7911358403 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC180005582 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Ottawa Regional Hospital & Healthcare Center | Professional | Current |
Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Ottawa Regional Hospital & Healthcare Center | Current |
Accepting new patients |
Locations
1207 Starfire Dr
Ottawa, IL 61350
Phone (815) 434-4382
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Yes |
Addresses
Primary practice location
1100 E Norris Drive
Ottawa, IL 61350-3678
Mailing address
1100 E Norris Drive
Ottawa, IL 61350-3678
Phone (815) 434-4382
Other names
- Beth Anne Jensen
Other providers in Ottawa, IL
- Arukah Institute of Healing Inc NFP
- Valerie Anne Arwood
- Athletic and Therapeutic Institute of Naperville, LLC
- Brandon Aubry
- Auditorri Associates
- Mohammed Ahmad Awad
- Asim Khan Babar
- Hailey Anne Backes
- Athar Baig
- Sarah Baker
All providers in Ottawa, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.