MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC) – Professional Counselor, NPI 1114164894

MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC) is a healthcare provider. based in Geneva, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, ED, NCC, LCPC. They hold a License No. 180007692 (IL). The NPI Number for MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC) is 1114164894

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC)
NPI
1114164894
Phone
(630) 262-2640
Address
2631 WILLIAMSBURG AVE
Enumeration Date
16 January 2009
Last Update Date
15 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6302622640
Graduation Year
2008 (18 years ago)
PAC ID
3779928940
Group Practice PAC ID
1052477981
Professional Enrollment ID
I20240227003159
Address ID
IL601741745SA1024XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC)

  • Williamsburg Avenue, Geneva, Kane County, Illinois, 60134, United States

    SUITE 302

    GENEVA, IL 601341107

    Phone: (630) 262-2640

    Fax: (630) 262-2645

    Type: Location

  • 1310, Larson Street, Sycamore, Sycamore Township, DeKalb County, Illinois, 60178, United States

    SYCAMORE, IL 601781068

    Phone: (815) 901-2007

    Type: Mailing

  • 1024 WEST MAIN STREET

    ST. CHARLES, IL 60174

    Phone: (630) 262-2640

    Fax: (630) 262-2645

    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: 2024-02-27

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
I20240227003159IMental 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 60134)

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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: 1052477981View full group profile
NameSpecialtyState
Mental Health CounselorIL
P S Y C H I A T R YIL
Nurse PractitionerIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIA
Nurse PractitionerIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Where can patients find MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC)'s NPI?
You can confirm MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC) with NPI 1114164894; it appears in the national provider directory.
Is MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC) active in the national directory?
MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC)'s public NPI profile is in an active state.
What does MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC) treat or focus on?
Patients typically see MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC) under the specialty Professional Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC)?
The snapshot lists Geneva, Illinois for MRS. CHRISTINE M. ANDERSON (MS, ED, NCC, LCPC); download NPPES for the complete set.
What if Geneva, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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TRICITY FAMILY SERVICES

Mental Health Clinic/Center (Including Community Mental Health Center)
1120, Randall Court, Geneva, Kane County, Illinois, 60134, United States
NPI: 1598850778