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SUSAN RAE MACDONOUGH LCPC
NPI 1174186233
Counselor - Professional in Quincy, IL

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
1025 MAINE ST, QUINCY, IL 62301(217) 222-6550(217) 277-2253 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2023, Oct 17, 2022, Sep 23, 2022 and 1 more (4 updates tracked since 2019).

About Susan Rae Macdonough Lcpc NPPES

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

SUSAN RAE MACDONOUGH LCPC (NPI 1174186233) is an individual professional provider in Quincy, Illinois, licensed in Illinois (180013585) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hannibal, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174186233
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSAN RAE MACDONOUGHCredential: LCPC
Location Address1025 MAINE STQuincy, IL 62301-4096
Mailing Address1025 Maine StQuincy, IL 62301-4096 · (217) 222-6550 · Fax (217) 277-2253
Phone(217) 222-6550
Fax(217) 277-2253
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 15, 2019
Last NPPES UpdateNovember 13, 20234 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1174186233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180013585✔ Licensed in MO · 2018036478
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180013585 (IL)
1025 MAINE ST, Quincy, IL 62301
Open in Google Maps ↗

Other Names 1

Former Name (1)Susan Rae Porter

Secondary Practice Location 1

Location 1141 Communication DrHannibal, MO 63401-3670 · Phone (573) 603-1460 · Fax (573) 603-1462

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

Susan Rae Macdonough Lcpc 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 ID3779933007
PECOS Enrollment IDI20231228000988
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 Susan Macdonough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Quincy Physicians & Surgeons Clinic, PLLC
Same address
Clinic/Center
1025 MAINE ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 252 clinicians in this Medicare group
NPI 1548234198 (217) 222-6550

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

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.

WILLIAM J. HOLT M.D.
Orthopaedic Surgery
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
NICOLE ANTOINETTE SHIELDS MS, LCPC, QMHP
Counselor (Professional)
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
MRS. KRISTIN ELIZABETH-DANIEL THOMPSON DPT
Physical Therapist
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
KATHLEEN JEAN NELSON M.S. ED.
Counselor (Professional)
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
TAYLOR J. MOORE DO
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
ELIZABETH BAKER
Pharmacist
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
DANA B ALTMAN DO
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550

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 Susan Macdonough's NPI number?

The NPI number for Susan Macdonough is 1174186233. It was assigned to this individual provider in the NPPES registry on April 15, 2019. The provider is also known as Susan Rae Porter.

Where is Susan Macdonough located?

Susan Macdonough practices at 1025 Maine St, Quincy, IL 62301. The listed phone number is (217) 222-6550.

What is Susan Macdonough's specialty?

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

Is Susan Macdonough enrolled in Medicare?

Yes. Susan Macdonough 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 Susan Macdonough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Macdonough reassigns Medicare benefits to Quincy Physicians & Surgeons Clinic, PLLC (Quincy, 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 Susan Macdonough'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 Susan Macdonough was last updated on November 13, 2023. 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.