COPING WITH CHOICES THERAPY GROUP LLC
NPI 1104419365
Social Worker - Clinical in O Fallon, IL

Active since February 18, 2021
1151 BOULDER CREEK DRIVE, APT 104, O FALLON, IL 62269(618) 825-8173 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coping With Choices Therapy Group Llc NPPES

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

COPING WITH CHOICES THERAPY GROUP LLC (NPI 1104419365) is a healthcare organization registered as a clinical in O Fallon, Illinois and active in the NPI registry since February 2021. The organization lists Yvonne Suzette Gates, President, as its authorized official.

NPPES Registry Identity

NPI1104419365
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOPING WITH CHOICES THERAPY GROUP LLC
Location Address1151 BOULDER CREEK DRIVE, APT 104O Fallon, IL 62269-0079
Mailing Address4020 Green Mount Crossing Dr Ste 108O Fallon, IL 62269-7287 · (618) 825-8173
Organization SubpartNo
Authorized OfficialYvonne Suzette GatesPresident · (618) 825-8173
Enumeration DateFebruary 18, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1104419365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologistTaxonomy 103T00000X
1151 BOULDER CREEK DRIVE, O Fallon, IL 62269

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coping With Choices Therapy Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20220127001939Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coping With Choices Therapy Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1043962046
713 VOGEL PL
East Saint Louis, IL 62205
(618) 409-5884
✔ PECOS10 mi

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 Coping With Choices Therapy Group LLC's NPI number?

The NPI number for Coping With Choices Therapy Group LLC is 1104419365. It was assigned to this organization in the NPPES registry on February 18, 2021.

Where is Coping With Choices Therapy Group LLC located?

Coping With Choices Therapy Group LLC is located at 1151 Boulder Creek Drive Apt 104, O Fallon, IL 62269. The listed phone number is (618) 825-8173.

What is Coping With Choices Therapy Group LLC's specialty?

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

Is Coping With Choices Therapy Group LLC enrolled in Medicare?

Yes. Coping With Choices Therapy Group LLC is registered in the Medicare PECOS enrollment system.

When is Coping With Choices Therapy Group LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Coping With Choices Therapy Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Coping With Choices Therapy Group LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coping With Choices Therapy Group LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Coping With Choices Therapy Group LLC 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 Coping With Choices Therapy Group LLC was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.