Michal Kocum
Individual provider Active NPI Professional Counselor · Wheaton, IL
NPI 1831825942 · NPPES record last updated Dec 18, 2023
Key facts
- NPI
- 1831825942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180015572 (IL)
- Practice address
- 1737 S Naperville Rd
Wheaton, IL 60189-5894 - Phone
- (331) 472-7768
- NPI assigned
- Jul 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Heritage Professional Associates LTD
Practice addresses (Care Compare)
120 E Ogden Ave
Suite 220
Hinsdale, IL 60521-3546
Phone (630) 325-5300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118002370 | IL | Practitioner - Mental Health Counselor | 6608228333 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180015572 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Mind Therapy PLLC | Current | Accepting new patients | |
| Heritage Professional Associates LTD | Current |
Accepting new patients |
Locations
120 E Ogden Ave
Ste 220
Hinsdale, IL 60521
Phone (630) 325-5300
120 E Ogden Ave
Ste 2
Hinsdale, IL 60521
Phone (630) 325-5300
1737 S Naperville Rd
Ste 206
Wheaton, IL 60189
Phone (630) 325-5300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180015572 | IL | Yes |
Addresses
Primary practice location
1737 S Naperville Rd
Wheaton, IL 60189-5894
Mailing address
1737 S Naperville Rd
Wheaton, IL 60189-5894
Phone (331) 472-7768
Other practice location 1
507 W Roosevelt Rd
Wheaton, IL 60187-5057
Phone (763) 501-8463
Other providers in Wheaton, IL
- Bonita June Knox
- Roberta Knox
- Tracy Ko
- Michelle Kocher
- Jessica Elizabeth Kocum
- Michael William Koehne
- Christopher James Koeller
- Elizabeth Kohler-Rausch
- Amy Kohlmann
- Scott J Kolbaba
All providers in Wheaton, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.