Organization Active NPI

Megan Grove Counseling, PLLC

  • Mental Health Counselor
  • Dixon, IL
National Provider Identifier
1548030596
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MEGAN GROVE COUNSELING, PLLC
Practice address
1254 N Galena Ave
Dixon, IL 61021-1047
Phone
(815) 973-8160
NPI assigned
Jan 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Megan E Grove, LCSWNPI 1972167690
Title
Licensed Clinical Social Worker
Phone
(815) 973-8160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1254 N Galena Ave
Dixon, IL 61021-1047

Mailing address

1805 White Pines Dr
Dixon, IL 61021-8790
Phone (815) 973-8160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240708002733 IL Part B Supplier - Clinic/Group Practice 9537604145 Receives reassigned benefits from 3 practitioners
Practice locations: Dixon, IL

National Provider Directory

National Provider Directory

Locations

1254 N Galena Ave
Dixon, IL 61021
Phone (815) 973-8160

1254 N Galena Ave
Ste E
Dixon, IL 61021
Phone (815) 277-9820

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1548030596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 WHITE PINES DR",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610218790",
            "telephone_number": "815-973-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211047",
            "telephone_number": "815-973-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN GROVE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "815-973-8160",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.