ELLIOTT COUNSELING SERVICES, LLC – Community/Behavioral Health Agency, NPI 1396067559
Community/Behavioral Health Agency
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ELLIOTT COUNSELING SERVICES, LLC
1310 E GROVE ST
BLOOMINGTON, IL 617014215
Phone: (309) 212-2496
Fax: (312) 789-4373
Type: Mailing
706 OGLESBY AVE STE 300
NORMAL, IL 617614616
Phone: (309) 212-3606
Fax: (312) 789-4373
Type: Location
1820 N Sterling Ave
West Peoria, IL 616046433
Phone: (309) 212-3606
Fax: (312) 789-4373
Type: Location
220, Orlando Avenue, Bunker Hill, Normal, McLean County, Illinois, 61761, United States
NORMAL, IL 617611356
Phone: (309) 212-3606
Fax: (888) 474-1956
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: 2017-06-06
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 |
|---|---|---|---|---|
| O20170606001451 | 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 61701)
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