Individual provider Active NPI

Cheryl Bassett Upchurch, LCPC

  • Professional Counselor
  • Calumet City, IL
National Provider Identifier
1902485527
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
555 Price Ave
Calumet City, IL 60409-3531
Phone
(708) 862-7255
NPI assigned
Apr 2, 2021
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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 Primary

Addresses

Primary practice location

555 Price Ave
Calumet City, IL 60409-3531

Mailing address

555 Price Ave
Calumet City, IL 60409-3531
Phone (708) 862-7255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240226001266 TX Practitioner - Mental Health Counselor 8820433246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Specialists Medical Group (de), PAGroup PAC ID 7618397464, 34 clinicians

Practice addresses (Care Compare)

1 Chisholm Trail Rd
Suite 450
Round Rock, TX 78681-5094
Phone (877) 583-5633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Specialists (de), P.a. Professional CurrentSince Jan 14, 2024 Accepting new patients

Locations

1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489

1600 Golf Rd
Ste 1200
Rolling Meadows, IL 60008
Phone (224) 431-6221

1 Chisholm Trail Rd
Ste 450
Round Rock, TX 78681
Phone (512) 862-7200

101 Southwestern Blvd
Ste 290
Sugar Land, TX 77478
Phone (877) 583-5633

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1902485527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PRICE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604093531",
            "telephone_number": "708-862-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PRICE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604093531",
            "telephone_number": "708-862-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPCHURCH",
        "first_name": "CHERYL",
        "middle_name": "BASSETT",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

Verify at the official NPI Registry.