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MR. JUSTIN E HAMPTON LCSW
NPI 1184001380
Social Worker - Clinical in Effingham, IL

Active since April 27, 2015PECOS EnrolledAccepts Medicare Assignment
900 W TEMPLE AVE STE 208, EFFINGHAM, IL 62401(217) 342-0211(217) 342-0232 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2026, Jul 23, 2024, Apr 24, 2024 and 2 more (5 updates tracked since 2019).

About Mr. Justin E Hampton Lcsw NPPES

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

MR. JUSTIN E HAMPTON LCSW (NPI 1184001380) is an individual clinical provider in Effingham, Illinois, licensed in Missouri (2013027896) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1184001380
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JUSTIN E HAMPTONCredential: LCSW
Location Address900 W TEMPLE AVE STE 208Effingham, IL 62401-2187
Mailing Address900 W Temple Ave Ste 208Effingham, IL 62401-2187 · (217) 342-0211 · Fax (217) 342-0232
Phone(217) 342-0211
Fax(217) 342-0232
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 27, 2015
Last NPPES UpdateFebruary 3, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1184001380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MO · 2013027896✔ Licensed in OH · I.2507158✔ Licensed in IL · 149025896✔ Licensed in NM · SWB-2023-0951
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.
900 W TEMPLE AVE STE 208, Effingham, IL 62401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1225 S Meramec Ave, Suite 218Clayton, MO 63105-3511 · Phone (314) 884-1038
Location 2600 S Taylor Ave Ste 122Saint Louis, MO 63110-1035 · Phone (314) 286-1700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and more.Insurance ›

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

Mr. Justin E Hampton 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 ID9931419942
PECOS Enrollment IDI20151103002336, I20240417003891
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 Reassignments

5

Medicare enrollment records show Justin Hampton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Illinois Healthcare Foundation Inc
Same address
Federally Qualified Health Center (FQHC)
900 W TEMPLE AVE, SUITE 208
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • 164 clinicians in this Medicare group
NPI 1154651776 (217) 342-0211
Affinia Healthcare
95 mi
Federally Qualified Health Center (FQHC)
4414 N FLORISSANT AVE
Saint Louis, MO 63107
  • Reassigned Medicare billing, Missouri enrollment
  • 85 clinicians in this Medicare group
NPI 1093723959 (314) 898-1700
Washington University
98 mi
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 148 clinicians in this Medicare group
NPI 1003856592 (314) 362-5184
Affect Therapeutics Inc
551 mi
Rehabilitation, Substance Use Disorder
1001 RESEARCH PARK BLVD STE 100
Charlottesville, VA 22911
  • Reassigned Medicare billing, Illinois enrollment
NPI 1104402064 (845) 769-8758
Mccd Fl Psychiatry Services PA
723 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 70 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255

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 62401 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 7

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (217) 342-0211
NICOLE MCCOY MA
Counselor (Mental Health)
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (217) 238-5700
MS. DANA MARIE RUHOLL APN
Nurse Practitioner (Family)
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (618) 332-0953
DR. HARITHA NALLAPARAJU DMD
Dentist (General Practice)
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (217) 342-0211
REBEKAH E DOTY FNP-C
Nurse Practitioner (Family)
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (217) 342-0211
COLES COUNTY MENTAL HEALTH ASSOCIATION, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (217) 238-5700
SANDRA SUSAN BLAZEK MSW
Social Worker (Clinical)
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (217) 342-0211

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 Justin Hampton's NPI number?

The NPI number for Justin Hampton is 1184001380. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Where is Justin Hampton located?

Justin Hampton practices at 900 W Temple Ave Ste 208, Effingham, IL 62401. The listed phone number is (217) 342-0211.

What is Justin Hampton's specialty?

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

Is Justin Hampton enrolled in Medicare?

Yes. Justin Hampton 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 organizations bill Medicare for Justin Hampton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Hampton reassigns Medicare benefits to 5 organizations: Southern Illinois Healthcare Foundation Inc (Effingham, IL), Affinia Healthcare (Saint Louis, MO), Washington University (Saint Louis, MO), Affect Therapeutics Inc (Charlottesville, VA) and Mccd Fl Psychiatry Services PA (Jacksonville, FL). Each 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 Justin Hampton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Hampton accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare list Justin Hampton 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 Justin Hampton was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.