Megan Rose
Individual provider Active NPI Mental Health Counselor · Metamora, IL
NPI 1386199537 · NPPES record last updated Jul 11, 2025
Key facts
- NPI
- 1386199537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 180012270 (IL)
- Practice address
- 407 N Morgan St Apt a
Metamora, IL 61548-7081 - Phone
- (309) 648-6679
- NPI assigned
- Aug 17, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250505003173 | IL | Practitioner - Mental Health Counselor | 7911424874 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Service Center | Current |
Accepting new patients | |
| Human Service Center | Current |
Accepting new patients | |
| Camelot Care Centers, LLC | Past | Accepting new patients | |
| Camelot Care Centers, LLC | Past |
Accepting new patients |
Locations
228 NE Jefferson Ave
Peoria, IL 61603
Phone (309) 671-8000
600 Fayette St
Peoria, IL 61603
Phone (309) 671-8020
Interoperability endpoints
- lifestancehealth.meganrose@146897.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 180012270 | IL | Yes |
Addresses
Primary practice location
407 N Morgan St Apt a
Metamora, IL 61548-7081
Mailing address
407 N Morgan St Apt a
Metamora, IL 61548-7081
Phone (309) 648-6679
Other providers in Metamora, IL
- R and R Chiropractic, Inc.
- Barbara Marie Ramage
- Fern Reardon
- Amanda Sue Rhoades
- Jill S Roberts
- Frank David Sauder
- Carissa Mae Schmitz
- Julie E Sellner
- Madison Silverthorn
- Lori Ann Singletary
All providers in Metamora, IL · Mental Health 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 11, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.