POORVA TALAPATRA M.ED., LCPC
NPI 1013210194
Counselor - Mental Health in Carbondale, IL

Active since December 13, 2010PECOS EnrolledAccepts Medicare Assignment
400 S LEWIS LN, CARBONDALE, IL 62901(618) 519-9900(618) 529-1384 Get Directions Write a Review

NPPES record last updated: August 25, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Poorva Talapatra M.ed., Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POORVA TALAPATRA M.ED., LCPC (NPI 1013210194) is an individual mental health provider in Carbondale, Illinois, licensed in Illinois (178005097) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1013210194
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePOORVA TALAPATRACredential: M.ED., LCPC
Location Address400 S LEWIS LNCarbondale, IL 62901-3547
Mailing AddressPo Box 577, 109 California StCarterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-4635
Fax(618) 529-1384
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 13, 2010
Last NPPES UpdateAugust 25, 2015
✔ NPI 1013210194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178005097
400 S LEWIS LN, Carbondale, IL 62901

Other Identifiers 1

Medicaid370966854024IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Poorva Talapatra M.ed., Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355784794
PECOS Enrollment IDI20240213001574
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Poorva Talapatra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
404 S. LEWIS LANE
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 52 clinicians in this Medicare group
Surgery
4230 LINCOLNSHIRE DR STE A
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
89%267 patients4/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
400 S LEWIS LN
CARBONDALE, IL 62901
Physician Assistant
400 S LEWIS LN
CARBONDALE, IL 62901
Clinical Medical Laboratory
400 S LEWIS LN
CARBONDALE, IL 62901
Nurse Practitioner (Family)
400 S LEWIS LN
CARBONDALE, IL 62901
Counselor (Mental Health)
400 S LEWIS LN
CARBONDALE, IL 62901
Physician Assistant
400 S LEWIS LN
CARBONDALE, IL 62901
Family Medicine
400 S LEWIS LN
CARBONDALE, IL 62901
Psychologist (Clinical)
400 S LEWIS LN
CARBONDALE, IL 62901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poorva Talapatra's NPI number?

The NPI number for Poorva Talapatra is 1013210194. It was assigned to this individual provider in the NPPES registry on December 13, 2010.

Where is Poorva Talapatra located?

Poorva Talapatra practices at 400 S Lewis Ln, Carbondale, IL 62901. The listed phone number is (618) 519-9900.

What is Poorva Talapatra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Poorva Talapatra enrolled in Medicare?

Yes. Poorva Talapatra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Poorva Talapatra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poorva Talapatra reassigns Medicare benefits to 2 organizations: Shawnee Health Service And Development Corp (Carbondale, IL) and Ahuja Bariatric & Beyond (Mount Vernon, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Poorva Talapatra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Poorva Talapatra accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Poorva Talapatra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Poorva Talapatra was last updated on August 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.