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KRISTINE BUKALA LCSW
NPI 1336679455
Social Worker - Clinical in Channahon, IL

Active since June 13, 2017PECOS EnrolledAccepts Medicare Assignment
25224 W EAMES ST STE C, CHANNAHON, IL 60410(815) 467-8181 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2024, Jan 6, 2020, Dec 19, 2018 and 2 more (5 updates tracked since 2017).

About Kristine Bukala Lcsw NPPES

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

KRISTINE BUKALA LCSW (NPI 1336679455) is an individual clinical provider in Channahon, Illinois, licensed in Illinois (149019565) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336679455
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTINE BUKALACredential: LCSW
Location Address25224 W EAMES ST STE CChannahon, IL 60410-5256
Mailing Address25224 E Eames St, Suite CChannahon, IL 60410 · (815) 467-8181
Phone(815) 467-8181
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 13, 2017
Last NPPES UpdateMay 13, 20245 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1336679455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149019565
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 150015098 (IL)
25224 W EAMES ST STE C, Channahon, IL 60410
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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

Kristine Bukala 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 ID6507139029
PECOS Enrollment IDI20170906000056
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 Reassignments

4

Medicare enrollment records show Kristine Bukala reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Counseling & Coaching Of Illinois, PLLC
Same address
Professional
25224 W EAMES ST
Channahon, IL 60410
  • Reassigned Medicare billing, Illinois enrollment
  • 24 clinicians in this Medicare group
NPI 1063867257 (815) 467-8181
Morris Hospital
0.1 mi
General Practice
25259 S REED ST
Channahon, IL 60410
  • Reassigned Medicare billing, Illinois enrollment
  • 207 clinicians in this Medicare group
NPI 1275648511 (815) 467-0555
Gianan Health PLLC
17 mi
Psychiatric/Mental Health
899 S WEBER RD STE A
Bolingbrook, IL 60490
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1467201210 (571) 331-4622
Blue Moon Senior Counseling Of Illinois LLC
18 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Illinois enrollment
  • 57 clinicians in this Medicare group
NPI 1841562931 (855) 241-7160

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 60410 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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

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

HALEIGH ZORN LSW
Social Worker
25224 W EAMES ST STE C
CHANNAHON, IL 60410
Will County (815) 467-8181

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 Kristine Bukala's NPI number?

The NPI number for Kristine Bukala is 1336679455. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Kristine Bukala located?

Kristine Bukala practices at 25224 W Eames St Ste C, Channahon, IL 60410. The listed phone number is (815) 467-8181.

What is Kristine Bukala's specialty?

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

Is Kristine Bukala enrolled in Medicare?

Yes. Kristine Bukala 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 organizations bill Medicare for Kristine Bukala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Bukala reassigns Medicare benefits to 4 organizations: Alliance Counseling & Coaching Of Illinois, PLLC (Channahon, IL), Morris Hospital (Channahon, IL), Gianan Health PLLC (Bolingbrook, IL) and Blue Moon Senior Counseling Of Illinois LLC (Plainfield, IL). Each 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 Kristine Bukala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristine Bukala was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.