Individual provider Active NPI

Richard Lee McCoy, MA, NCC, LCPC

  • Professional Counselor
  • Woodstock, IL
National Provider Identifier
1790111631
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010971 Issued in IL
Practice address
134 Cass St Ste 3
Woodstock, IL 60098-3208
Phone
(815) 345-3400
NPI assigned
Sep 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.008683 IL
Professional Counselor 101YP2500X 180010971 IL Primary

Addresses

Primary practice location

134 Cass St Ste 3
Woodstock, IL 60098-3208

Mailing address

134 Cass St Ste 3
Woodstock, IL 60098-3208
Phone (815) 345-3400

Other practice location 1

201 E Dundee Rd
Palatine, IL 60074-2806
Phone (847) 991-7284

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
I20240101000141 IL Practitioner - Mental Health Counselor 1153771357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Woodstock Therapist LLCGroup PAC ID 6507133105, 4 clinicians

Practice addresses (Care Compare)

224 W Judd St
Suite 7
Woodstock, IL 60098-3199
Phone (815) 345-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.008683ILMDProfessional Counselor
180010971ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Woodstock Therapist LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

665 Tollgate Rd
Ste B
Elgin, IL 60123
Phone (815) 345-3400

1301 Pyott Rd
Ste 101
Lk in the Hls, IL 60156
Phone (815) 345-3400

224 W Judd St
Ste 7
Woodstock, IL 60098
Phone (815) 345-3400

134 Cass St
Ste 3
Woodstock, IL 60098
Phone (815) 345-3400

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": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790111631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 CASS ST STE 3",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983208",
            "telephone_number": "815-345-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CASS ST STE 3",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983208",
            "telephone_number": "815-345-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Dundee Rd",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600742806",
            "country_code": "US",
            "telephone_number": "847-991-7284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "credential": "MA, NCC, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.008683",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

Verify at the official NPI Registry.