Individual provider Active NPI

Morgan Eby

  • Mental Health Counselor
  • Algonquin, IL
National Provider Identifier
1992475511
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
208.000760 Issued in IL
Practice address
2100 Huntington Dr N Ste B
Algonquin, IL 60102-5940
Phone
(777) 779-7335
NPI assigned
Sep 15, 2021
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 208.000760 IL Primary

Addresses

Primary practice location

2100 Huntington Dr N Ste B
Algonquin, IL 60102-5940

Mailing address

215 N Main St
Algonquin, IL 60102-2570
Phone (224) 678-9033

Other practice location 1

1625 Bethany Rd
Sycamore, IL 60178-3124
Phone (779) 777-7335

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
I20240328003625 IL Practitioner - Marriage and Family Therapist 5991143794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Services in Health Psychology, LTDGroup PAC ID 4981736550, 19 clinicians

Practice addresses (Care Compare)

1625 Bethany Rd
Sycamore, IL 60178-3124
Phone (779) 777-7335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
208.000760ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Three Birds Mental Health Services PLLC Past Accepting new patients

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, 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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1992475511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601022570",
            "telephone_number": "224-678-9033",
            "fax_number": "224-678-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HUNTINGTON DR N STE B",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025940",
            "telephone_number": "777-779-7335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Bethany Rd",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601783124",
            "country_code": "US",
            "telephone_number": "779-777-7335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBY",
        "first_name": "MORGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "208.000760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.