ATHENA DACANAY PSYD
NPI 1255853396
Psychologist - Clinical in Bloomington, IL

Q: What is Athena Dacanay's NPI number?

The NPI number for Athena Dacanay is 1255853396. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Q: What is Athena Dacanay's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Athena Dacanay was last updated on July 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 11, 2017PECOS EnrolledAccepts Medicare Assignment

808 S ELDORADO RD STE 102, BLOOMINGTON, IL 61704(309) 706-3190(309) 706-3190 Get Directions Write a Review

NPPES record last updated: July 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Athena Dacanay Psyd NPPES

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

ATHENA DACANAY PSYD (NPI 1255853396) is an individual clinical provider in Bloomington, Illinois, licensed in Illinois (071.009576) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255853396

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameATHENA DACANAYCredential: PSYD

Location Address808 S ELDORADO RD STE 102Bloomington, IL 61704-6075

Mailing AddressPo Box 604Bloomington, IL 61702-0604 · (309) 706-3190

Phone(309) 706-3190

Fax(309) 706-3190

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 11, 2017

✔ NPI 1255853396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071.009576

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

808 S ELDORADO RD STE 102, Bloomington, IL 61704

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.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

Athena Dacanay Psyd 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 ID9234404310

PECOS Enrollment IDI20210720000899

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

Medicare enrollment records show Athena Dacanay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

People & Paws Psychological Services, PLLC

488 mi

Psychologist

1095 HENDERSONVILLE RD STE A-4
Asheville, NC 28803

Reassigned Medicare billing, North Carolina enrollment

NPI 1073377669 (828) 668-2389

Cotswold Clinician Support Services

576 mi

Community/Behavioral Health

447 S SHARON AMITY RD, STE 250
Charlotte, NC 28211

Reassigned Medicare billing, North Carolina enrollment
33 clinicians in this Medicare group

NPI 1063893568 (704) 264-2973

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 61704 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

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

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 14

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

VICTORIA FETTER

Counselor (Mental Health)