Individual provider Active NPI

Rebecca Vinson-Boyer, LCPC

  • Professional Counselor
  • Waukegan, IL
National Provider Identifier
1417250192
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007682 Issued in IL
Practice address
2835 Belvidere Rd
Suite 214
Waukegan, IL 60085-6046
Phone
(847) 672-9059
Fax
(847) 672-8237
NPI assigned
Dec 17, 2010
Last updated
Jun 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180007682 IL Primary

Addresses

Primary practice location

2835 Belvidere Rd
Suite 214
Waukegan, IL 60085-6046

Mailing address

2835 Belvidere Rd
Suite 214
Waukegan, IL 60085-6046
Phone (847) 672-9059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

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
Clear Sky Counseling Services PLLCGroup PAC ID 3870084817, 4 clinicians

Practice addresses (Care Compare)

10 N Lake St
Suite 109
Grayslake, IL 60030-3636
Phone (847) 986-4151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180007682ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Sky Counseling Services PLLC Professional Current Accepting new patients
Creative Counseling and Evaluation Services, LLC Past Accepting new patients

Locations

10 N Lake St
Ste 109
Grayslake, IL 60030
Phone (224) 829-0878

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1417250192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 BELVIDERE RD",
            "address_2": "SUITE 214",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856046",
            "telephone_number": "847-672-9059",
            "fax_number": "847-672-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 BELVIDERE RD",
            "address_2": "SUITE 214",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856046",
            "telephone_number": "847-672-9059",
            "fax_number": "847-672-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON-BOYER",
        "first_name": "REBECCA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.