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LORI BUSHELL LCPC
NPI 1205869005
Counselor - Mental Health in Peoria, IL

Active since July 08, 2006Opted out of Medicare · through Jan 1, 2028
2001 W WILLOW KNOLLS DR, PEORIA, IL 61614(309) 263-5565 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lori Bushell Lcpc NPPES

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

LORI BUSHELL LCPC (NPI 1205869005) is an individual mental health provider in Peoria, Illinois, licensed in Illinois (180004972) and active in the NPI registry since July 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1205869005
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLORI BUSHELLCredential: LCPC
Location Address2001 W WILLOW KNOLLS DRPeoria, IL 61614-1290
Mailing Address2000 W Pioneer Pkwy Ste 20Peoria, IL 61615-5805 · (309) 231-6180 · Fax (309) 213-9485
Phone(309) 263-5565
Sole ProprietorNo
Enumeration DateJuly 8, 2006
Last NPPES UpdateMarch 17, 2018
✔ NPI 1205869005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180004972
2001 W WILLOW KNOLLS DR, Peoria, IL 61614
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Secondary Practice Location 1

Location 12000 W Pioneer Pkwy Ste 20Peoria, IL 61615-5805 · Phone (309) 231-6180 · Fax (309) 213-9485

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lori Bushell Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 11

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

MS. AMY J SIGLER M.S., CCC-SLP-L
Speech-Language Pathologist
2001 W WILLOW KNOLLS DR, SUITE 106
PEORIA, IL 61614
Peoria County (309) 689-9920
DR. JAMES R. FROST D.D.S.
Dentist (General Practice)
2001 W WILLOW KNOLLS DR, SUITE #204
PEORIA, IL 61614
Peoria County (309) 692-8118
MS. DANILA L MCASEY M.S., CCC-SLP/L
Speech-Language Pathologist
2001 W WILLOW KNOLLS DR, SUITE 106
PEORIA, IL 61614
Peoria County (309) 689-9920
SPEECH & LANGUAGE REHABILITATION SERVICE LTD
Speech-Language Pathologist
2001 W WILLOW KNOLLS DR, SUITE 106
PEORIA, IL 61614
Peoria County (309) 689-9920
MS. NICOLE L CAMPBELL MS, CCC-SLP/L
Speech-Language Pathologist
2001 W WILLOW KNOLLS DR, SUITE 106
PEORIA, IL 61614
Peoria County (309) 689-9920
MRS. LYNN ELLEN IRVING-KLASS LCPC
Counselor (Professional)
2001 W WILLOW KNOLLS DR, SUITE 205A
PEORIA, IL 61614
Peoria County (309) 693-9003
MRS. MEGAN NICOLE SANDERS CCC-SLP
Speech-Language Pathologist
2001 W WILLOW KNOLLS DR, STE. 106
PEORIA, IL 61614
Peoria County (309) 689-9920
DEB SCHIERBECK LCPC
Counselor (Mental Health)
2001 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 263-5565

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 Lori Bushell's NPI number?

The NPI number for Lori Bushell is 1205869005. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Lori Bushell located?

Lori Bushell practices at 2001 W Willow Knolls Dr, Peoria, IL 61614. The listed phone number is (309) 263-5565.

What is Lori Bushell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lori Bushell enrolled in Medicare?

No. Lori Bushell has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lori Bushell was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.