ALISHA RYBICKI BARNUM MA, LCPC
NPI 1336554179
Counselor - Professional in St Charles, IL

Active since June 30, 2014Opted out of Medicare · through Jan 1, 2028
1202 KING JAMES AVE, ST CHARLES, IL 60174(815) 494-4059 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Dec 13, 2023, Oct 6, 2018 and 2 more (5 updates tracked since 2017).

About Alisha Rybicki Barnum Ma, Lcpc NPPES

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

ALISHA RYBICKI BARNUM MA, LCPC (NPI 1336554179) is an individual professional provider in St Charles, Illinois, licensed in Illinois (180010472) and active in the NPI registry since June 2014. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Saint Charles.

NPPES Registry Identity

NPI1336554179
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALISHA RYBICKI BARNUMCredential: MA, LCPC
Location Address1202 KING JAMES AVESt Charles, IL 60174-7817
Mailing Address311 N 2nd St Ste 201dSaint Charles, IL 60174-1852 · (630) 797-9192
Sole ProprietorYes
Enumeration DateJune 30, 2014
Last NPPES UpdateDecember 10, 20245 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1336554179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in IL · 180010472 Licensed in IL · 178.010022
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1202 KING JAMES AVE, St Charles, IL 60174

Secondary Practice Location 1

Location 1311 N 2nd St Ste 207Saint Charles, IL 60174-1852 · Phone (630) 797-9192

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Alisha Rybicki Barnum Ma, Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Physical Therapist
1202 KING JAMES AVE
ST CHARLES, IL 60174

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 Alisha Barnum's NPI number?

The NPI number for Alisha Barnum is 1336554179. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Alisha Barnum located?

Alisha Barnum practices at 1202 King James Ave, St Charles, IL 60174. The listed phone number is (815) 494-4059.

What is Alisha Barnum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Alisha Barnum enrolled in Medicare?

No. Alisha Barnum has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alisha Barnum was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.