Keri Powell Therapy – Mental Health Counselor, NPI 1174751663
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Keri Powell Therapy
208 S Market St
Monticello, IL 618561835
Phone: (217) 352-0200
Fax: (217) 607-1139
Type: Location
2125 S NEIL ST
CHAMPAIGN, IL 618207266
Phone: (217) 352-0200
Fax: (217) 607-1139
Type: Mailing
206 N Parke St
Tuscola, IL 619531495
Phone: (217) 352-0200
Fax: (217) 607-1139
Type: Location
1415 W 22nd St
Oak Brook, IL 605232074
Phone: (217) 352-0200
Fax: (217) 607-1139
Type: Location
116 S Lombard St
Mahomet, IL 618539202
Phone: (217) 352-0200
Fax: (217) 607-1139
Type: Location
301 N Neil St Ste 302
Champaign, IL 618203167
Phone: (217) 352-0200
Fax: (217) 607-1139
Type: Location
Cheeser Financial, 701, Devonshire Drive, Champaign, Champaign County, Illinois, 61821, United States
SUITE B1
CHAMPAIGN, IL 618207337
Phone: (217) 352-0200
Fax: (217) 352-0200
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: 2012-07-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20120720000534 | O | Clinic/Group Practice | IL | TBD |
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.
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 61856)
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