CHILD AND FAMILY COUNSELING OF CHAMPAIGN
NPI 1053814848
Counselor - Professional in Champaign, IL
About Child And Family Counseling Of Champaign NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHILD AND FAMILY COUNSELING OF CHAMPAIGN (NPI 1053814848) is a healthcare organization registered as a professional in Champaign, Illinois and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Savoy and lists Marilee Johnson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Child And Family Counseling Of Champaign is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Child And Family Counseling Of Champaign, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Child And Family Counseling Of Champaign's NPI number?
The NPI number for Child And Family Counseling Of Champaign is 1053814848. It was assigned to this organization in the NPPES registry on March 17, 2018.
Where is Child And Family Counseling Of Champaign located?
Child And Family Counseling Of Champaign is located at 313 N Mattis Ave Ste 116, Champaign, IL 61821. The listed phone number is (224) 232-8057.
What is Child And Family Counseling Of Champaign's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Child And Family Counseling Of Champaign enrolled in Medicare?
Yes. Child And Family Counseling Of Champaign is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Child And Family Counseling Of Champaign?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Child And Family Counseling Of Champaign, in Clinical Social Worker and Mental Health Counselor. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Child And Family Counseling Of Champaign was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Child And Family Counseling Of Champaign · NPI 1053814848
Professional organization in Champaign, Illinois. Organization record, active in the CMS NPPES registry since March 17, 2018.
## Identity
- **NPI:** 1053814848 (Entity type: Organization)
- **Enumerated:** March 17, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Marilee Johnson, OWNER
## Practice location
- **Address:** 313 N MATTIS AVE STE 116, Champaign, IL 61821-7900
- **Phone:** (224) 232-8057 · **Fax:** (217) 888-2744
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Mental Health Counselor (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053814848) · Data from the CMS NPPES public registry.