TAYLOR EWING (MA, NCC, LCPC) – Mental Health Counselor, NPI 1538815675

TAYLOR EWING (MA, NCC, LCPC) is a healthcare provider. based in Bourbonnais, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, NCC, LCPC. They hold a License No. 178.017662 (IL). The NPI Number for TAYLOR EWING (MA, NCC, LCPC) is 1538815675

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR EWING (MA, NCC, LCPC)
NPI
1538815675
Phone
(815) 348-9771
Address
201 Park Pl Ste 11
Enumeration Date
28 February 2022
Last Update Date
13 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884287890
Graduation Year
2021 (5 years ago)
PAC ID
4789126459
Group Practice PAC ID
3971963901
Professional Enrollment ID
I20240610001655
Address ID
IL609142392BO755XXPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:4State licenses:3Digital endpointsOther names

2,308 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for TAYLOR EWING (MA, NCC, LCPC)

  • 201 Park Pl Ste 11

    Bourbonnais, IL 609141883

    Phone: (815) 348-9771

    Type: Location

  • 205 MORGAN CT APT 2C

    MANHATTAN, IL 604428513

    Phone: (815) 549-6144

    Type: Mailing

  • 14933 FOUNDERS XING

    HOMER GLEN, IL 604916712

    Phone: (414) 909-0624

    Type: Location

  • 9 EMERY DR

    BOURBONNAIS, IL 609141009

    Phone: (815) 549-6144

    Type: Mailing

  • 755 ALMAR PKWY

    BOURBONNAIS, IL 609142392

    Phone: (779) 229-6581

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-06-10

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
I20240610001655IMental 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 60914)

Loading plans...

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

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for TAYLOR EWING (MA, NCC, LCPC) in the U.S.?
In the U.S., TAYLOR EWING (MA, NCC, LCPC) is identified by NPI 1538815675.
Does the public listing show TAYLOR EWING (MA, NCC, LCPC) as active?
TAYLOR EWING (MA, NCC, LCPC)'s NPI record reflects an active status in NPPES.
What services align with TAYLOR EWING (MA, NCC, LCPC)'s listing?
TAYLOR EWING (MA, NCC, LCPC)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is TAYLOR EWING (MA, NCC, LCPC) tied to Bourbonnais, Illinois?
If you are local to Bourbonnais, Illinois, TAYLOR EWING (MA, NCC, LCPC) may be relevant to your search.
Who maintains TAYLOR EWING (MA, NCC, LCPC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

32755, Rancho Vista Drive, Cathedral City, Riverside County, California, 92234, United States
NPI: 1114912318
183, East North Street, Bradley, Kankakee County, Illinois, 60915, United States
NPI: 1538189170

JORGE SR. BONILLA

Mental Health Counselor
1362 ARGYLE LN S
NPI: 1801908363
Harrison Street, Bourbonnais, Kankakee County, Illinois, 60914, United States
NPI: 1154480325

JAMES BARRY WILSON (LCPC)

Mental Health Counselor
Park Place, Bourbonnais, Kankakee County, Illinois, 60914, United States
NPI: 1366506214
204 S WALNUT ST
NPI: 1336298306

JESSICA L MCVEY

Mental Health Counselor
115, Mooney Drive, Bourbonnais, Kankakee County, Illinois, 60914, United States
NPI: 1184830226

TERI BOUDREAU, LTD.

Mental Health Counselor
PO BOX 334
NPI: 1346436672

AWARENESS, INC.

Mental Health Counselor
110, Mooney Drive, Bourbonnais, Kankakee County, Illinois, 60914, United States
NPI: 1821255290