DR. BIPIN SHARMA (PH.D, L.C.P.C.) – Addiction (Substance Use Disorder) Counselor, NPI 1053751719

DR. BIPIN SHARMA (PH.D, L.C.P.C.) is a healthcare provider. based in Hazel crest, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PH.D, L.C.P.C.. They hold a License No. 180008696 (IL). The NPI Number for DR. BIPIN SHARMA (PH.D, L.C.P.C.) is 1053751719

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. BIPIN SHARMA (PH.D, L.C.P.C.)
NPI
1053751719
Phone
(708) 250-0520
Address
17577 Kedzie Ave
Enumeration Date
26 June 2013
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
4385148337
Professional Enrollment ID
I20250922001829
Address ID
IL604488841MO19506TRLX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for DR. BIPIN SHARMA (PH.D, L.C.P.C.)

  • 17577 Kedzie Ave

    Hazel Crest, IL 604292051

    Phone: (708) 250-0520

    Type: Location

  • 17577 KEDZIE AVE

    HAZEL CREST, IL 604292051

    Phone: (708) 250-0520

    Type: Mailing

  • 2319 MANHATTAN RD

    JOLIET, IL 604338605

    Phone: (708) 223-2698

    Type: Location

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: 2025-09-22

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
I20250922001829IMental 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 60429)

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Reviews

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Frequently asked questions

How is DR. BIPIN SHARMA (PH.D, L.C.P.C.) identified in CMS data?
CMS-hosted NPPES data lists DR. BIPIN SHARMA (PH.D, L.C.P.C.) with NPI 1053751719.
Does CMS list DR. BIPIN SHARMA (PH.D, L.C.P.C.) as active?
Yes — DR. BIPIN SHARMA (PH.D, L.C.P.C.) is active in the NPI listing used on this page.
What is DR. BIPIN SHARMA (PH.D, L.C.P.C.)'s specialty?
The listing groups DR. BIPIN SHARMA (PH.D, L.C.P.C.) with Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BIPIN SHARMA (PH.D, L.C.P.C.) on a map?
Expect Hazel Crest, Illinois as a primary anchor for DR. BIPIN SHARMA (PH.D, L.C.P.C.) unless the record lists multiple sites.
Is the information about DR. BIPIN SHARMA (PH.D, L.C.P.C.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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