Margo Alena McCollister, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008014 Issued in IL

Practice address

616 N Lincoln Ave
Geneva, IL 60134-1218

Phone

(630) 664-1449

NPI assigned

Nov 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Margo Alena Goc Former name

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Wheaton Wellness Center IncGroup PAC ID 3971037409, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wheaton Wellness Center, Inc.

  • Counselor
  • Wheaton, IL
  • NPI 1255807244
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1528345287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N LINCOLN AVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341218",
            "telephone_number": "630-664-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N LINCOLN AVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341218",
            "telephone_number": "630-664-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLISTER",
        "first_name": "MARGO",
        "middle_name": "ALENA",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGO",
            "last_name": "GOC",
            "middle_name": "ALENA",
            "prefix": "MISS",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan James McCall, DDS
• Eva M McCallister-James, MSW/LSW
• Sarah McCann, RN
• Cory Ray McCleave, MD, MBA
• Nora McClure
• Patrick Gerard McConnell, OT
• Kelly Kooken McCurtain, CPNP
• Mathew Edward McFadden, PSY.D., LCPC
• Mary Ellen McInerney, RD
• Scott CT McKay, P.A.

• Professional Counselor in Geneva, IL
• Providers in Geneva, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.