TARYN COLARUSSO – Mental Health Counselor, NPI 1396292439

TARYN COLARUSSO is a healthcare provider. based in St charles, Illinois. specializing in CLINICAL SOCIAL WORKER. The NPI Number for TARYN COLARUSSO is 1396292439

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
TARYN COLARUSSO
NPI
1396292439
Phone
(630) 377-6613
Address
1120 E MAIN ST STE 201
Enumeration Date
7 September 2016
Last Update Date
16 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6305531600
Graduation Year
2019 (7 years ago)
PAC ID
4385032473
Group Practice PAC ID
7416959390
Professional Enrollment ID
I20211021002658
Address ID
IL605601814YO110XXPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:9State licenses:0Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for TARYN COLARUSSO

  • 1120 E MAIN ST STE 201

    ST CHARLES, IL 601742287

    Phone: (630) 377-6613

    Fax: (630) 377-6225

    Type: Mailing

  • 110 E COUNTRYSIDE PKWY STE C

    YORKVILLE, IL 605601814

    Phone: (630) 553-1600

    Fax: (630) 553-7993

    Type: Location

  • 1630, Plum Street, Aurora, Kane County, Illinois, 60506, United States

    AURORA, IL 605063462

    Phone:

    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: 2021-10-21

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
I20211021002658IClinical Social WorkerILTBD

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 60174)

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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: 7416959390View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical PsychologistIL
Mental Health CounselorIL
Mental Health CounselorIL
Marriage And Family TherapistIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
-IL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What is the standard ID for TARYN COLARUSSO in the U.S.?
In the U.S., TARYN COLARUSSO is identified by NPI 1396292439.
Does the public listing show TARYN COLARUSSO as active?
TARYN COLARUSSO's NPI record reflects an active status in NPPES.
Which specialty label fits TARYN COLARUSSO?
NPPES ties TARYN COLARUSSO to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit TARYN COLARUSSO in St Charles, Illinois?
For routing, start with St Charles, Illinois for TARYN COLARUSSO, then verify phone and hours locally.
Why is information missing for TARYN COLARUSSO?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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