Individual provider Active NPI

Benjamin Kyle Meils, LCPC

  • Mental Health Counselor
  • Bourbonnais, IL
National Provider Identifier
1861162638
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180016902 Issued in IL
Practice address
755 Almar Pkwy Ste a
Bourbonnais, IL 60914-2393
Phone
(815) 315-9901
NPI assigned
Sep 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180016902 IL Primary
Professional Counselor 101YP2500X 178018429 IL
Professional Counselor 101YP2500X 180.016902 IL

Addresses

Primary practice location

755 Almar Pkwy Ste a
Bourbonnais, IL 60914-2393

Mailing address

450 W 3Rd Ave
Clifton, IL 60927-9300
Phone (815) 922-5275

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
I20251002003350 IL Practitioner - Mental Health Counselor 3971009416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

755 Almar Pkwy
Bourbonnais, IL 60914-2392
Phone (888) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178018429ILMDProfessional Counselor
180.016902ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Mental Health CurrentSince Jul 25, 2025 Accepting new patients
Psychology Specialists LTD Counselor Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

755 Almar Pkwy
Ste A
Bourbonnais, IL 60914
Phone (815) 214-9079

755 Almar Pkwy
Bourbonnais, IL 60914
Phone (317) 366-9559

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

Organizations & group practices 2

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1861162638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W 3RD AVE",
            "city": "CLIFTON",
            "state": "IL",
            "postal_code": "609279300",
            "telephone_number": "815-922-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 ALMAR PKWY STE A",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142393",
            "telephone_number": "815-315-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEILS",
        "first_name": "BENJAMIN",
        "middle_name": "KYLE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180016902",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178018429",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.