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MRS. PHETSAVANH COGGIN LCPC
NPI 1336537745
Counselor - Mental Health in Woodstock, IL

Active since January 07, 2015PECOS EnrolledAccepts Medicare Assignment
3701 DOTY RD, WOODSTOCK, IL 60098(815) 338-6600(815) 206-5376 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2020, Oct 19, 2018, Jun 14, 2018 and 1 more (4 updates tracked since 2016).

About Mrs. Phetsavanh Coggin Lcpc NPPES

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

MRS. PHETSAVANH COGGIN LCPC (NPI 1336537745) is an individual mental health provider in Woodstock, Illinois, licensed in Illinois (180010325) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336537745
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. PHETSAVANH COGGINCredential: LCPC
Location Address3701 DOTY RDWoodstock, IL 60098
Mailing Address47 Katrina LnSleepy Hollow, IL 60118-3123
Phone(815) 338-6600
Fax(815) 206-5376
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 7, 2015
Last NPPES UpdateOctober 13, 20204 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1336537745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180010325
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 1001080 (IL)
3701 DOTY RD, Woodstock, IL 60098
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Other Names 1

Former Name (1)Phetsavanh Keobouavanh Lcpc

Secondary Practice Locations 2

Location 110400 Haligus RdHuntley, IL 60142-9553 · Phone (815) 338-6600 · Fax (815) 206-5376
Location 24201 W Medical Center DrMcHenry, IL 60050-8409 · Phone (815) 338-6600 · Fax (815) 206-5376

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

Mrs. Phetsavanh Coggin Lcpc 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 ID1355725771
PECOS Enrollment IDI20240614002557
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 20

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

DR. JANINE A. KRUEGER PHARM.D.
Pharmacist
3701 DOTY RD, PHARMACY DEPARTMENT
WOODSTOCK, IL 60098
McHenry County (815) 334-3880
MS. HILARY PIRRO MSW, LCSW
Social Worker (Clinical)
3701 DOTY RD
WOODSTOCK, IL 60098
McHenry County (815) 338-6600
DR. BRIAN BENJAMIN BLACKMON DO
Psychiatry & Neurology (Psychiatry)
3701 DOTY RD
WOODSTOCK, IL 60098
McHenry County (815) 338-6600
SARAH A PEARSON FNP
Nurse Practitioner
3701 DOTY RD
WOODSTOCK, IL 60098
McHenry County (815) 206-3400
ANGELA K ASTLEFORD CNP
Nurse Practitioner (Gerontology)
3701 DOTY RD
WOODSTOCK, IL 60098
McHenry County (815) 338-6600
WENDY L. WARD M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3701 DOTY RD, CENTEGRA MEMORIAL MEDICAL CENTER / PATHOLOGY DEPARTMENT
WOODSTOCK, IL 60098
McHenry County (815) 344-5555
DR. NIVA S SHAH PHARMD
Pharmacist
3701 DOTY RD, PHARMACY DEPARTMENT
WOODSTOCK, IL 60098
McHenry County (815) 334-3880
DR. HEIDI DOOLEY PSYD
Psychologist (Clinical)
3701 DOTY RD
WOODSTOCK, IL 60098
McHenry County (262) 488-8833

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 Phetsavanh Coggin's NPI number?

The NPI number for Phetsavanh Coggin is 1336537745. It was assigned to this individual provider in the NPPES registry on January 7, 2015. The provider is also known as Phetsavanh Keobouavanh Lcpc.

Where is Phetsavanh Coggin located?

Phetsavanh Coggin practices at 3701 Doty Rd, Woodstock, IL 60098. The listed phone number is (815) 338-6600.

What is Phetsavanh Coggin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Phetsavanh Coggin enrolled in Medicare?

Yes. Phetsavanh Coggin 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.

When was this NPI record last updated?

The NPPES record for Phetsavanh Coggin was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.