Outreach Community Counseling Center in Carol Stream – Adolescent and Children Mental Health Clinic/Center, NPI 1255443669
Adolescent and Children Mental Health Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Outreach Community Counseling Center in Carol Stream
336 Gundersen Dr Ste B
Carol Stream, IL 601882403
Phone: (630) 871-2100
Fax: (630) 588-0824
Type: Location
28W542 Batavia Rd
Warrenville, IL 605553009
Phone: (630) 393-7057
Fax: (630) 393-7029
Type: Location
102, South Schmale Road, Carol Stream, DuPage County, Illinois, 60188, United States
CAROL STREAM, IL 601882771
Phone: (630) 682-1910
Fax: (630) 682-3094
Type: Mailing
122, West Liberty Drive, Wheaton, DuPage County, Illinois, 60187, United States
WHEATON, IL 601875124
Phone: (630) 682-1910
Fax: (630) 682-0655
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: 2018-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (798 days ago).
Enrollment records
1
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| O20180313000045 | O | Clinic/Group Practice | IL | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 60188)
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