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BRIAN STOOPS LCSW
NPI 1306247861
Social Worker - Clinical in Carlinville, IL

Active since September 15, 2014PECOS EnrolledAccepts Medicare Assignment
20613 N BROAD ST STE B, CARLINVILLE, IL 62626(217) 854-3881 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brian Stoops Lcsw NPPES

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

BRIAN STOOPS LCSW (NPI 1306247861) is an individual clinical provider in Carlinville, Illinois, licensed in Illinois (149016747) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1306247861
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRIAN STOOPSCredential: LCSW
Location Address20613 N BROAD ST STE BCarlinville, IL 62626
Mailing Address20733 N Broad StCarlinville, IL 62626-3710 · (217) 854-3141
Phone(217) 854-3881
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 15, 2014
Last NPPES UpdateMarch 14, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1306247861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149016747
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
20613 N BROAD ST STE B, Carlinville, IL 62626
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15230 S 6th Street RdSpringfield, IL 62703-5128 · Phone (217) 585-1180 · Fax (217) 585-4747
Location 2205 S 3rd StGirard, IL 62640 · Phone (217) 627-2222

Other Identifiers 1

Other149016747IL · License Clinical Social Worker

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Brian Stoops Lcsw 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 ID2466777537
PECOS Enrollment IDI20150212000275
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 Reassignment

Medicare enrollment records show Brian Stoops reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carlinville Area Hospital Association
Same address
Critical Access
20733 NORTH BROAD STREET
Carlinville, IL 62626
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1932275641 (Illinois)
  • 86 clinicians in this Medicare group
NPI 1053425124 (217) 854-3857

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 62626 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
$0.00 typical visit price
range $56.28 – $173.35
Typical copayment $0.00 (range $14.07 – $43.33)
Most-billed visit code NA
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
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 3

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

ANNA MARIA LENTINI APN
Nurse Practitioner (Family)
20613 N BROAD ST STE B
CARLINVILLE, IL 62626
Macoupin County (217) 854-3881
DR. KATE MARIE EMMERICH MD
Family Medicine
20613 N BROAD ST STE B
CARLINVILLE, IL 62626
Macoupin County (217) 854-3881
CARLINVILLE AREA HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
20613 N BROAD ST STE B
CARLINVILLE, IL 62626
Macoupin County (217) 854-3881

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 Brian Stoops's NPI number?

The NPI number for Brian Stoops is 1306247861. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Where is Brian Stoops located?

Brian Stoops practices at 20613 N Broad St Ste B, Carlinville, IL 62626. The listed phone number is (217) 854-3881.

What is Brian Stoops's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Brian Stoops enrolled in Medicare?

Yes. Brian Stoops is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brian Stoops's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Stoops reassigns Medicare benefits to Carlinville Area Hospital Association (Carlinville, IL). The 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 Brian Stoops's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Stoops accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Brian Stoops as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Stoops was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.