Daniel Thomas Foutch, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209023867 Issued in IL

Practice address

328 N Neil St Ste C
Champaign, IL 61820-3614

Phone

(217) 377-0299

Fax

(217) 492-8588

NPI assigned

Aug 24, 2021

Sex

Male

Sole proprietor

Yes

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

McGill Counseling, LLCGroup PAC ID 1850706748, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zuzana.killiam.p30@direct.fhn-fqhc.nextgenshare.com

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.

• McGill Counseling, LLC

  • Counselor
  • Champaign, IL
  • NPI 1316545296
  Medicare reassignment Care Compare group NPD
• Pavilion Foundation

  • Psychiatric Hospital
  • Champaign, IL
  • NPI 1518930619
  Medicare reassignment NPD
• Average Joe Psychiatric Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mahomet, IL
  • NPI 1932906005
  NPD Authorized official
• Grit and Grace Therapy PLLC

  • Clinical Social Worker
  • Mahomet, IL
  • NPI 1013666015
  Medicare reassignment
• KC Counseling, LLC

  • Clinic/Center
  • Champaign, IL
  • NPI 1518425230
  NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• KC Eating Disorder Clinic PLLC

  • Clinic/Center
  • Champaign, IL
  • NPI 1326927971

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1669149134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 N NEIL ST STE C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203614",
            "telephone_number": "217-377-0299",
            "fax_number": "217-492-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N NEIL ST STE C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203614",
            "telephone_number": "217-377-0299",
            "fax_number": "217-492-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUTCH",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209023867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne C Foster, LSW
• Elizabeth Foster, PA-C
• Gina L Foster, B.S. R.D.H. P.H.D.H.
• Virginia P Foster, MSW, LCSW
• Norma Jean Fournier, LCSW
• Khyle Cheyenne Fowler, BCBA
• Nilia Irena Frame
• Lindsey Joy Francke, B.S.
• Jolie Francoeur-Carsten, LCSW
• Abby L Franz, M.S. CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Champaign, IL
• Providers in Champaign, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.