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DAVID L COLE LCSW, LPHA
NPI 1164660775
Social Worker - Clinical in Sullivan, IL

Active since February 04, 2009PECOS EnrolledAccepts Medicare Assignment
12 W HARRISON ST, SULLIVAN, IL 61951(217) 728-4358(217) 728-2270 Get Directions Write a Review

NPPES record last updated: February 4, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David L Cole Lcsw, Lpha NPPES

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

DAVID L COLE LCSW, LPHA (NPI 1164660775) is an individual clinical provider in Sullivan, Illinois, licensed in Illinois (149.011051) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1164660775
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDAVID L COLECredential: LCSW, LPHA
Location Address12 W HARRISON STSullivan, IL 61951-1907
Mailing AddressPo Box 163, 12 W. HarrisonSullivan, IL 61951-0163 · (217) 728-4358 · Fax (217) 728-2270
Phone(217) 728-4358
Fax(217) 728-2270
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 4, 2009
✔ NPI 1164660775 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 · 149.011051
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.
12 W HARRISON ST, Sullivan, IL 61951
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David L Cole Lcsw, Lpha 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 ID5294973640
PECOS Enrollment IDI20130822000066
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.

Medicare Billing Reassignment

Medicare enrollment records show David Cole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Moultrie County Mental Health Center
Same address
Community/Behavioral Health
12 W HARRISON ST
Sullivan, IL 61951
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1811025240 (217) 728-4358

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61951 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 20

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

RITA SEELOW
Counselor (Mental Health)
12 W HARRISON ST
SULLIVAN, IL 61951
Moultrie County (217) 728-4358
ERIN E DONOVAN
Social Worker
12 W HARRISON ST
SULLIVAN, IL 61951
Moultrie County (217) 728-4358
NATALIE MITCHEM BS
Counselor (Mental Health)
12 W HARRISON ST
SULLIVAN, IL 61951
Moultrie County (217) 728-4358
CHARLEIGH BROWN
Counselor (Mental Health)
12 W HARRISON ST
SULLIVAN, IL 61951
Moultrie County (217) 728-4358
BRADFORD DAWSON
Counselor (Mental Health)
12 W HARRISON ST
SULLIVAN, IL 61951
Moultrie County (217) 728-4358
LISA V THOMAS
Counselor (Mental Health)
12 W HARRISON ST
SULLIVAN, IL 61951
Moultrie County (217) 728-4358
PENNY ARLENE ARTHUR
Counselor (Mental Health)
12 W HARRISON ST
SULLIVAN, IL 61951
Moultrie County (217) 728-4358
VALERIE BRUMFIELD
Counselor (Mental Health)
12 W HARRISON ST
SULLIVAN, IL 61951
Moultrie County (217) 728-4358

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 David Cole's NPI number?

The NPI number for David Cole is 1164660775. It was assigned to this individual provider in the NPPES registry on February 4, 2009.

Where is David Cole located?

David Cole practices at 12 W Harrison St, Sullivan, IL 61951. The listed phone number is (217) 728-4358.

What is David Cole's specialty?

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

Is David Cole enrolled in Medicare?

Yes. David Cole 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.

Which organization bills Medicare for David Cole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Cole reassigns Medicare benefits to Moultrie County Mental Health Center (Sullivan, IL). The 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 David Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Cole was last updated on February 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.