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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

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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.

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

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 (PECOS)

Marisol Bucio Ma, Ncc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.