Individual provider Active NPI

Megan Kathleen Ramirez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mahomet, IL
National Provider Identifier
1609604727
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
041476887 Issued in IL
Practice address
1204 E Oak St. BLDG 2 Suite 2
Mahomet, IL 61853
Phone
(217) 530-5608
Fax
(309) 981-8714
NPI assigned
Jul 22, 2024
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 041476887 IL Primary

Addresses

Primary practice location

1204 E Oak St. BLDG 2 Suite 2
Mahomet, IL 61853

Mailing address

1204 E Oak St Ste 2-2
Mahomet, IL 61853-2795
Phone (217) 530-5608

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625002519 IL Practitioner - Nurse Practitioner 4789196627 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041476887ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grit and Grace Therapy PLLC CurrentSince Jul 28, 2024 Accepting new patients
Bodhi Counseling & Consulting Center, PC Psychiatric/Mental Health CurrentSince Jun 16, 2025 Accepting new patients
McGill Counseling, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

100 Trade Centre Dr
Ste 302
Champaign, IL 61820
Phone (217) 731-4638

2506 Galen Dr
Ste 108
Champaign, IL 61821
Phone (217) 262-9508

1204 E Oak St
Ste 2-2
Mahomet, IL 61853
Phone (217) 530-5608

Organizations & group practices 3

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1609604727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E OAK ST STE 2-2",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618532795",
            "telephone_number": "217-530-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E OAK ST. BLDG 2 SUITE 2",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "61853",
            "telephone_number": "217-530-5608",
            "fax_number": "309-981-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MEGAN",
        "middle_name": "KATHLEEN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041476887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahomet, IL

Sources for this page

Verify at the official NPI Registry.