Individual provider Active NPI

Rajashree Iyer, MS/LCPC/NCC

  • Professional Counselor
  • West Peoria, IL
National Provider Identifier
1942390653
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180009106 Issued in IL
Practice address
1820 N Sterling Ave
West Peoria, IL 61604-6433
Phone
(309) 212-3606
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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 180009106 IL Primary

Addresses

Primary practice location

1820 N Sterling Ave
West Peoria, IL 61604-6433

Mailing address

107 Shannon Hills Dr
Washington, IL 61571-9463
Phone (309) 745-3730

Other names 1

  • Mrs. Rajashree Iyer Professional name

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
I20240607003497 IL Practitioner - Mental Health Counselor 9830631654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

2220 State St
Pekin, IL 61554-3937
Phone (309) 347-1110

5901 N Prospect Rd
Suite 201a
Peoria, IL 61614-4346
Phone (888) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180009106ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. CurrentSince Apr 29, 2024 Accepting new patients
Psychology Specialists LTD PastSince Apr 29, 2024 Accepting new patients
Psychology Specialists LTD Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1616 N Damen Ave
Ste 301
Chicago, IL 60647
Phone (312) 761-4720

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

5901 N Prospect Rd
Ste 201A
Peoria, IL 61614
Phone (309) 648-0782

Organizations & group practices 4

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1942390653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SHANNON HILLS DR",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719463",
            "telephone_number": "309-745-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N STERLING AVE",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616046433",
            "telephone_number": "309-212-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "RAJASHREE",
        "name_prefix": "Mrs.",
        "credential": "MS/LCPC/NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJASHREE",
            "last_name": "IYER",
            "prefix": "MRS.",
            "credential": "MS/LCPC/NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Peoria, IL

Sources for this page

Verify at the official NPI Registry.