BAUMAN PSYCHOTHERAPY COLLABORATIONS, LLC
NPI 1235701905
Clinic/Center - Adult Mental Health in Crystal Lake, IL
About Bauman Psychotherapy Collaborations, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAUMAN PSYCHOTHERAPY COLLABORATIONS, LLC (NPI 1235701905) is a healthcare organization registered as an adult mental health in Crystal Lake, Illinois and active in the NPI registry since July 2021. The organization lists Kelly Jean Bauman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Bauman Psychotherapy Collaborations, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bauman Psychotherapy Collaborations, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Bauman Psychotherapy Collaborations, LLC's NPI number?
The NPI number for Bauman Psychotherapy Collaborations, LLC is 1235701905. It was assigned to this organization in the NPPES registry on July 13, 2021.
Where is Bauman Psychotherapy Collaborations, LLC located?
Bauman Psychotherapy Collaborations, LLC is located at 457 Coventry Ln Ste 115, Crystal Lake, IL 60014. The listed phone number is (815) 245-4825.
What is Bauman Psychotherapy Collaborations, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Bauman Psychotherapy Collaborations, LLC enrolled in Medicare?
Yes. Bauman Psychotherapy Collaborations, LLC is registered in the Medicare PECOS enrollment system.
When is Bauman Psychotherapy Collaborations, 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 December 31, 2026. 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 Bauman Psychotherapy Collaborations, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Bauman Psychotherapy Collaborations, 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.
When was this NPI record last updated?
The NPPES record for Bauman Psychotherapy Collaborations, LLC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Bauman Psychotherapy Collaborations, Llc · NPI 1235701905
Adult Mental Health organization in Crystal Lake, Illinois. Organization record, active in the CMS NPPES registry since July 13, 2021.
## Identity
- **NPI:** 1235701905 (Entity type: Organization)
- **Enumerated:** July 13, 2021
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Kelly Bauman, OWNER
## Practice location
- **Address:** 457 COVENTRY LN STE 115, Crystal Lake, IL 60014-7571
- **Phone:** (815) 245-4825 · **Fax:** (815) 596-1008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Illinois, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235701905) · Data from the CMS NPPES public registry.