DIANE M BAILEY YODER (LPC) – Professional Counselor, NPI 1063833796

DIANE M BAILEY YODER (LPC) is a healthcare provider. based in Round lake, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 10504-125 (WI). The NPI Number for DIANE M BAILEY YODER (LPC) is 1063833796

Main info

Female
13 Years Of Experience
Name
DIANE M BAILEY YODER (LPC)
NPI
1063833796
Phone
(847) 322-2975
Address
25663 W BROOKS FARM RD
Enumeration Date
24 December 2013
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473223975
Graduation Year
2013 (13 years ago)
PAC ID
7911253836
Group Practice PAC ID
0547681058
Professional Enrollment ID
I20240221003285
Address ID
IL600201224FO34XXXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for DIANE M BAILEY YODER (LPC)

  • 25663 W BROOKS FARM RD

    ROUND LAKE, IL 600735250

    Phone: (847) 322-2975

    Type: Mailing

  • 1800 HOLLISTER DR

    SUITE 201

    LIBERTYVILLE, IL 600485263

    Phone: (847) 549-1189

    Type: Location

  • 3402 SWEETWATER LN

    JOHNSBURG, IL 600515220

    Phone: (847) 322-2975

    Fax: (888) 436-1636

    Type: Mailing

  • 34 W GRAND AVE STE 101

    FOX LAKE, IL 600201224

    Phone: (847) 322-2975

    Fax: (888) 436-1636

    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: 2024-02-21

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
I20240221003285IMental 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 60073)

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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: 0547681058View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

How is DIANE M BAILEY YODER (LPC) identified in CMS data?
CMS-hosted NPPES data lists DIANE M BAILEY YODER (LPC) with NPI 1063833796.
Can I rely on DIANE M BAILEY YODER (LPC) being an active provider?
As of the registry snapshot, DIANE M BAILEY YODER (LPC) is marked active.
What taxonomy line describes DIANE M BAILEY YODER (LPC)?
For research purposes, treat DIANE M BAILEY YODER (LPC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What area does DIANE M BAILEY YODER (LPC) serve?
DIANE M BAILEY YODER (LPC)'s listing highlights Round Lake, Illinois; more addresses can appear in NPPES.
Is the information about DIANE M BAILEY YODER (LPC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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