AMBER MARCUSSEN – Mental Health Counselor, NPI 1023411162

AMBER MARCUSSEN is a healthcare provider. based in Woodstock, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 178008417 (IL). The NPI Number for AMBER MARCUSSEN is 1023411162

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
AMBER MARCUSSEN
NPI
1023411162
Phone
(847) 802-4058
Address
111 DEAN ST
Enumeration Date
3 October 2014
Last Update Date
14 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478024058
Graduation Year
2011 (15 years ago)
PAC ID
1951848316
Group Practice PAC ID
6709128317
Professional Enrollment ID
I20240802000799
Address ID
IL600983220WO111XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for AMBER MARCUSSEN

  • 111 DEAN ST

    WOODSTOCK, IL 600983220

    Phone: (847) 802-4058

    Fax: (815) 344-5072

    Type: Mailing

  • 8616 NORTHERN AVE

    ROCKFORD, IL 611075309

    Phone: (815) 332-8003

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240802000799IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60098)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709128317View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical PsychologistIL
Mental Health CounselorIL
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What identifier follows AMBER MARCUSSEN across health systems?
The NPI 1023411162 uniquely identifies AMBER MARCUSSEN in U.S. healthcare data.
Quick check: is AMBER MARCUSSEN active?
Public NPPES data shows AMBER MARCUSSEN with an active NPI status right now.
What type of care does AMBER MARCUSSEN provide?
AMBER MARCUSSEN's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to AMBER MARCUSSEN?
The directory associates AMBER MARCUSSEN with Woodstock, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains AMBER MARCUSSEN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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