Individual provider Active NPI

Helen Fylstra

  • Clinical Social Worker
  • Bolingbrook, IL
National Provider Identifier
1568088268
Registry record updated Apr 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.104324 Issued in IL
Practice address
550 E Boughton Rd Ste 265
Bolingbrook, IL 60440-2396
Phone
(331) 318-8181
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 150.104324 IL Primary

Addresses

Primary practice location

550 E Boughton Rd Ste 265
Bolingbrook, IL 60440-2396

Mailing address

550 E Boughton Rd Ste 265
Bolingbrook, IL 60440-2396

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240502001360 IL Practitioner - Clinical Social Worker 4981044377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olimene Counseling Services, Inc.Group PAC ID 6406174325, 2 clinicians

Practice addresses (Care Compare)

550 E Boughton Rd
Suite 265
Bolingbrook, IL 60440-2396
Phone (331) 318-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.104324ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Olimene Counseling Services, Inc. Clinical CurrentSince Mar 23, 2024 Accepting new patients

Locations

550 E Boughton Rd
Ste 265
Bolingbrook, IL 60440
Phone (331) 318-8181

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682812800000",
    "number": "1568088268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD STE 265",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD STE 265",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402396",
            "telephone_number": "331-318-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYLSTRA",
        "first_name": "HELEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2023-04-30",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.104324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.