Fida Abdelrasoul, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

150.103891 Issued in IL

Practice address

505 W University Ave Ste 211
Champaign, IL 61820-3915

Phone

(224) 338-7754

NPI assigned

Sep 9, 2019

Last updated

Sep 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Soul Counseling PLLCGroup PAC ID 1850760943, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Soul Counseling, PLLC

  • Clinical Social Worker
  • Champaign, IL
  • NPI 1932825122
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1669021010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W UNIVERSITY AVE STE 211",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203915",
            "telephone_number": "224-338-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W UNIVERSITY AVE STE 211",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203915",
            "telephone_number": "224-338-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELRASOUL",
        "first_name": "FIDA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "150.103891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon Gerrard Aaron, LPC
• Makayla Abbott, RBT
• Abc Counseling and Family Services
• Ghada Abdalla
• Azza Ali Abdelkarim
• Toufic Abdo, MD
• Faisal Abdulameer, M.B.CH.B
• Abilicare, LLC
• Abiola Abosede
• Jason Abrams

• Mental Health Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.