Individual provider Active NPI

Patricia Kaps Bahnick, LPC

  • Professional Counselor
  • Schaumburg, IL
National Provider Identifier
1790339083
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178014995 Issued in IL
Practice address
715 E Golf Rd Ste 200A5B
Schaumburg, IL 60173-4595
Phone
(847) 857-7811
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178014995 IL Primary

Addresses

Primary practice location

715 E Golf Rd Ste 200A5B
Schaumburg, IL 60173-4595

Mailing address

715 E Golf Rd Ste 200A5B
Schaumburg, IL 60173-4595
Phone (847) 857-7811

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
I20240410001795 IL Practitioner - Mental Health Counselor 3274971270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

715 E Golf Rd
Suite 200 A5B
Schaumburg, IL 60173-4595
Phone (847) 857-7811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178014995ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Green Leaf Counseling PLLC Professional CurrentSince Mar 1, 2024 Accepting new patients

Locations

7210 E State St
Ste 102
Rockford, IL 61108
Phone (815) 877-8567

715 E Golf Rd
Ste 200A5B
Schaumburg, IL 60173
Phone (847) 857-7811

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1790339083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E GOLF RD STE 200A5B",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734595",
            "telephone_number": "847-857-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E GOLF RD STE 200A5B",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734595",
            "telephone_number": "847-857-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNICK",
        "first_name": "PATRICIA",
        "middle_name": "KAPS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178014995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.