Individual provider Active NPI

Adam Marchiorello

  • Mental Health Counselor
  • Crystal Lake, IL
National Provider Identifier
1780245688
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
380 Hilkert CT
Crystal Lake, IL 60014-5848
Phone
(815) 762-6347
NPI assigned
Jun 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

380 Hilkert CT
Crystal Lake, IL 60014-5848

Mailing address

380 Hilkert CT
Crystal Lake, IL 60014-5848
Phone (815) 762-6347

Other practice location 1

44 N Virginia St
Crystal Lake, IL 60014-4106
Phone (815) 762-6347

Other identifiers 1

IdentifierTypeStateIssuer
1821151119MedicaidIL

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
I20240418001520 IL Practitioner - Mental Health Counselor 0042659450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcadia Counseling LLCGroup PAC ID 9133568546, 2 clinicians

Practice addresses (Care Compare)

333 Commerce Dr
Suite 300
Crystal Lake, IL 60014-3596
Phone (815) 762-6347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Counseling LLC Mental Health CurrentSince Feb 22, 2024 Accepting new patients

Locations

333 Commerce Dr
Ste 300
Crystal Lake, IL 60014
Phone (224) 484-0649

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": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1780245688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HILKERT CT",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145848",
            "telephone_number": "815-762-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HILKERT CT",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145848",
            "telephone_number": "815-762-6347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600144106",
            "country_code": "US",
            "telephone_number": "815-762-6347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHIORELLO",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821151119",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.