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JAMES VISINAIZ JR. LCPC
NPI 1033624630
Counselor in Bloomingdale, IL

Active since December 06, 2017Opted out of Medicare · through Aug 18, 2027
121 FAIRFIELD WAY STE 240, BLOOMINGDALE, IL 60108(630) 309-2989(630) 790-3804 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Visinaiz Jr. Lcpc NPPES

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

JAMES VISINAIZ JR. LCPC (NPI 1033624630) is an individual counselor in Bloomingdale, Illinois, licensed in Illinois (180.011064) and active in the NPI registry since December 2017. He has opted out of Medicare through August 18, 2027.

NPPES Registry Identity

NPI1033624630
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJAMES VISINAIZ JR.Credential: LCPC
Location Address121 FAIRFIELD WAY STE 240Bloomingdale, IL 60108-1559
Mailing Address121 Fairfield Way Ste 240Bloomingdale, IL 60108-1559 · (630) 309-2989 · Fax (630) 790-3804
Phone(630) 309-2989
Fax(630) 790-3804
Sole ProprietorNo
Enumeration DateDecember 6, 2017
✔ NPI 1033624630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180.011064
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
121 FAIRFIELD WAY STE 240, Bloomingdale, IL 60108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

James Visinaiz Jr. Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 18, 2025 through August 18, 2027.

Opt-Out Effective DateAugust 18, 2025
Opt-Out In Effect ThroughAugust 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

JEANINE E SKUDLAREK LCPC
Counselor
121 FAIRFIELD WAY STE 240
BLOOMINGDALE, IL 60108
Dupage County (630) 309-2989

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 James Visinaiz's NPI number?

The NPI number for James Visinaiz is 1033624630. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is James Visinaiz located?

James Visinaiz practices at 121 Fairfield Way Ste 240, Bloomingdale, IL 60108. The listed phone number is (630) 309-2989.

What is James Visinaiz's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is James Visinaiz enrolled in Medicare?

No. James Visinaiz has opted out of Medicare through August 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for James Visinaiz was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.