MARISOL BUCIO MA, NCC, LPC
NPI 1265920946
Counselor in Tinley Park, IL

Q: What is Marisol Bucio's NPI number?

The NPI number for Marisol Bucio is 1265920946. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Q: What is Marisol Bucio's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Marisol Bucio was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 27, 2018PECOS EnrolledAccepts Medicare Assignment

6819 167TH ST, TINLEY PARK, IL 60477(708) 633-8000 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marisol Bucio Ma, Ncc, Lpc NPPES

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

MARISOL BUCIO MA, NCC, LPC (NPI 1265920946) is an individual counselor in Tinley Park, Illinois, licensed in Illinois (178013605) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265920946

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMARISOL BUCIOCredential: MA, NCC, LPC

Location Address6819 167TH STTinley Park, IL 60477-2501

Mailing Address4107 W 127th St Apt 7Alsip, IL 60803-1962 · (773) 226-1860

Phone(708) 633-8000

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateApril 27, 2018

✔ NPI 1265920946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IL · 178013605

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6819 167TH ST, Tinley Park, IL 60477

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisol Bucio Ma, Ncc, Lpc 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 ID2062857402

PECOS Enrollment IDI20240226002083

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.

Other Providers at the Same Location NPPES 8

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

OLIVE BRANCH COUNSELING ASSOCIATES, INC.

Counselor (Professional)