Andres Acosta, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149007194 Issued in IL

Practice address

1644 W Colonial Pkwy
Inverness, IL 60067-1207

Phone

(847) 776-4500

Fax

(847) 776-4724

NPI assigned

Oct 5, 2006

Last updated

Oct 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Behavioral Services, IncGroup PAC ID 7618048950, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proactive Behavioral Services, Inc.

  • Clinical Psychologist
  • Inverness, IL
  • NPI 1043437049
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1891881843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 W COLONIAL PKWY",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600671207",
            "telephone_number": "847-776-4500",
            "fax_number": "847-776-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 W COLONIAL PKWY",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600671207",
            "telephone_number": "847-776-4500",
            "fax_number": "847-776-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "ANDRES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149007194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149007194",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Above & Beyond Care Solutions, LTD.
• Active Life Chiropractic and Wellness Center, S.C.
• Adb Counseling LLC (Aleks Kico)
• Tobi Samuel Adeboyejo, PMHNP-BC
• Adore Your Core Consulting
• Adults-N-Teens Urgent Care PLLC (Physicians-only immediate care)

• Mental Health Counselor in Inverness, IL
• Providers in Inverness, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.