Megan K. Bucklin, LCPC, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

060.011928 Issued in IL

Legal business name

MEGAN K. BUCKLIN, LCPC, P.C.

Practice address

19 Heritage Dr
Suite 208
Bourbonnais, IL 60914-1369

Phone

(815) 935-5540

Fax

(866) 507-7385

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Megan Bucklin, LCPC

Title

Owner

Phone

(815) 935-5540

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christina Rae Stimson, MSW, LCSW

  • Clinical Social Worker
  • Bourbonnais, IL
  • NPI 1912181413
  NPD (past)

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1639618101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HERITAGE DR",
            "address_2": "SUITE 208",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141369",
            "telephone_number": "815-935-5540",
            "fax_number": "866-507-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HERITAGE DR",
            "address_2": "SUITE 208",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141369",
            "telephone_number": "815-935-5540",
            "fax_number": "866-507-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN K. BUCKLIN, LCPC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "BUCKLIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-935-5540",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "060.011928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Benjamin Kyle Meils, LCPC
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• Community/Behavioral Health Agency in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.