PATRICIA A POERTNER LCPC
NPI 1356444970
Counselor in Peoria, IL

Q: What is Patricia Poertner's NPI number?

The NPI number for Patricia Poertner is 1356444970. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is Patricia Poertner'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 Patricia Poertner was last updated on December 9, 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.

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment

6615 N BIG HOLLOW RD, PEORIA, IL 61615(309) 692-6622(309) 692-6952 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2024, Oct 3, 2024, Aug 7, 2024 (3 updates tracked since 2024).

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About Patricia A Poertner Lcpc NPPES

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

PATRICIA A POERTNER LCPC (NPI 1356444970) is an individual counselor in Peoria, Illinois, licensed in Illinois (180004390) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1356444970

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NamePATRICIA A POERTNERCredential: LCPC

Location Address6615 N BIG HOLLOW RDPeoria, IL 61615-2451

Mailing Address6615 N Big Hollow RdPeoria, IL 61615-2451 · (309) 692-6622 · Fax (309) 692-6952

Phone(309) 692-6622

Fax(309) 692-6952

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateSeptember 7, 2006

Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration

NPPES CertifiedDecember 9, 2024

✔ NPI 1356444970 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 · 180004390

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.

6615 N BIG HOLLOW RD, Peoria, IL 61615

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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 and accepts Medicare assignment

Patricia A Poertner 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 ID6901259399

PECOS Enrollment IDI20240201002891

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

110 services18 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

26 services26 patients

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.

KEVIN SISCOE LCPC

Counselor (Professional)