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MS. KATHLEEN ELIZABETH BAUTISTA LCSW
NPI 1063836104
Social Worker - Clinical in Lincoln, IL

Active since February 10, 2014PECOS EnrolledAccepts Medicare Assignment
100 STAHLHUT DR, LINCOLN, IL 62656(217) 735-9555 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2023, Feb 9, 2023, Aug 28, 2018 (3 updates tracked since 2018).

About Ms. Kathleen Elizabeth Bautista Lcsw NPPES

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

MS. KATHLEEN ELIZABETH BAUTISTA LCSW (NPI 1063836104) is an individual clinical provider in Lincoln, Illinois, licensed in Illinois (14916428) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1063836104
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATHLEEN ELIZABETH BAUTISTACredential: LCSW
Location Address100 STAHLHUT DRLincoln, IL 62656-5059
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Phone(217) 735-9555
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 10, 2014
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1063836104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 14916428
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
100 STAHLHUT DR, Lincoln, IL 62656
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1520 N 4th StSpringfield, IL 62702 · Phone (217) 545-8000 · Fax (217) 747-1351
Location 2319 E Madison StSpringfield, IL 62701-1035 · Phone (217) 545-8000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kathleen Elizabeth Bautista Lcsw 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 ID2365791332
PECOS Enrollment IDI20180823003625
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62656 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

DAVID J OLYSAV M.D.
Orthopaedic Surgery
100 STAHLHUT DR
LINCOLN, IL 62656
Logan County (217) 735-9555
JESSICA L. SCHNEBLY NP
Nurse Practitioner (Family)
100 STAHLHUT DR
LINCOLN, IL 62656
Logan County (217) 528-7541
KRISTEN GREEN M.D.
Obstetrics & Gynecology
100 STAHLHUT DR
LINCOLN, IL 62656
Logan County (217) 735-9555
ELIZABETH D. TALBERT APRN
Nurse Practitioner (Family)
100 STAHLHUT DR
LINCOLN, IL 62656
Logan County (217) 528-7541
DR. JING LEE M.D.
Family Medicine
100 STAHLHUT DR
LINCOLN, IL 62656
Logan County (217) 735-9555
ASHLEY J KAESEBIER FNP-BC
Nurse Practitioner (Family)
100 STAHLHUT DR
LINCOLN, IL 62656
Logan County (217) 735-9555
DENNIS M CARROLL M.D.
Family Medicine
100 STAHLHUT DR
LINCOLN, IL 62656
Logan County (217) 735-9555
BRIAN D. GAZDZIAK LCSW
Social Worker (Clinical)
100 STAHLHUT DR
LINCOLN, IL 62656
Logan County (217) 735-9555

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 Kathleen Bautista's NPI number?

The NPI number for Kathleen Bautista is 1063836104. It was assigned to this individual provider in the NPPES registry on February 10, 2014.

Where is Kathleen Bautista located?

Kathleen Bautista practices at 100 Stahlhut Dr, Lincoln, IL 62656. The listed phone number is (217) 735-9555.

What is Kathleen Bautista's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathleen Bautista enrolled in Medicare?

Yes. Kathleen Bautista 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.

When was this NPI record last updated?

The NPPES record for Kathleen Bautista was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.