SERENA ANNE FROST (LCPC, CADC) – Professional Counselor, NPI 1336586056

SERENA ANNE FROST (LCPC, CADC) is a healthcare provider. based in Dekalb, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC, CADC. They hold a License No. 30910 (IL). The NPI Number for SERENA ANNE FROST (LCPC, CADC) is 1336586056

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
SERENA ANNE FROST (LCPC, CADC)
NPI
1336586056
Phone
(815) 756-4875
Address
12 HEALTH SERVICES DR
Enumeration Date
4 June 2013
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884287890
Graduation Year
2017 (9 years ago)
PAC ID
9830532399
Group Practice PAC ID
3971963901
Professional Enrollment ID
I20240212002855
Address ID
IL605632394NA900XXRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for SERENA ANNE FROST (LCPC, CADC)

  • 12 HEALTH SERVICES DR

    DEKALB, IL 601159637

    Phone: (815) 756-4875

    Fax: (815) 756-2944

    Type: Mailing

  • 900 E DIEHL RD STE 101

    NAPERVILLE, IL 605632394

    Phone: (630) 328-0134

    Fax: (877) 428-7891

    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: 2024-02-12

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
I20240212002855IMental 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 60115)

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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: 3971963901View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Clinical PsychologistIL
Mental Health CounselorIL
Nurse PractitionerIL
Clinical PsychologistIL
Mental Health CounselorIL
Clinical Social WorkerNM
Clinical Social WorkerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is SERENA ANNE FROST (LCPC, CADC)'s NPI number?
SERENA ANNE FROST (LCPC, CADC)'s NPI is 1336586056 — the number used across U.S. healthcare to identify this provider.
Is there an active status for SERENA ANNE FROST (LCPC, CADC)?
For scheduling context, SERENA ANNE FROST (LCPC, CADC) is shown as active in the registry.
How would a patient describe SERENA ANNE FROST (LCPC, CADC)'s focus?
For SERENA ANNE FROST (LCPC, CADC), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SERENA ANNE FROST (LCPC, CADC)?
Travel planning: use Dekalb, Illinois as the reference point for SERENA ANNE FROST (LCPC, CADC), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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