PATRICK JOSEPH FALLON
NPI 1285355040
Counselor in Wheaton, IL

Q: What is Patrick Fallon's NPI number?

The NPI number for Patrick Fallon is 1285355040. It was assigned to this individual provider in the NPPES registry on September 8, 2022.

Q: What is Patrick Fallon'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 Patrick Fallon was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 08, 2022PECOS Enrolled

2100 MANCHESTER RD STE 1510, WHEATON, IL 60187(630) 653-1717(630) 653-7926 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Patrick Joseph Fallon NPPES

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

PATRICK JOSEPH FALLON (NPI 1285355040) is an individual counselor in Wheaton, Illinois, licensed in Illinois (178.014822) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285355040

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NamePATRICK JOSEPH FALLON

Location Address2100 MANCHESTER RD STE 1510Wheaton, IL 60187-4561

Mailing Address202 S Williston StWheaton, IL 60187-5914 · (630) 903-9535

Phone(630) 653-1717

Fax(630) 653-7926

Sole ProprietorYes

Enumeration DateSeptember 8, 2022

Last NPPES UpdateSeptember 9, 2022

NPPES CertifiedSeptember 9, 2022

✔ NPI 1285355040 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 · 178.014822

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.

2100 MANCHESTER RD STE 1510, Wheaton, IL 60187

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Joseph Fallon 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.

Other Providers at the Same Location NPPES 13

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

SERGIO MARTINEZ LSW, CADC

Counselor (Mental Health)