DIANE M BAILEY YODER LPC - NPI 1063833796 - Counselor in Fox Lake, IL

Q: What is Diane Bailey Yoder's NPI number?

The NPI number for Diane Bailey Yoder is 1063833796. It was assigned to this individual provider in the NPPES registry on December 24, 2013.

Q: What is Diane Bailey Yoder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

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About Diane M Bailey Yoder Lpc NPPES

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

DIANE M BAILEY YODER LPC (NPI 1063833796) is an individual professional provider in Fox Lake, Illinois, licensed in Illinois (180.010617) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063833796

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDIANE M BAILEY YODERCredential: LPC

Location Address34 W GRAND AVE STE 101Fox Lake, IL 60020-1224

Mailing Address3402 Sweetwater LnJohnsburg, IL 60051-5220 · (847) 322-2975 · Fax (888) 436-1636

Phone(847) 322-2975

Fax(888) 436-1636

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 24, 2013

Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1063833796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in IL · 180.010617✔ Licensed in WI · 10504-125

34 W GRAND AVE STE 101, Fox Lake, IL 60020

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane M Bailey Yoder Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911253836

PECOS Enrollment IDI20240221003285

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.

Other Providers at the Same Location NPPES 9

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

STEPHANIE LYNN PROVIS

Counselor (Mental Health)