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CENTENNIAL COUNSELING CENTER, PC
NPI 1376544387
Counselor - Mental Health in St Charles, IL

Active since August 02, 2005
1120 E MAIN ST, STE. 201, ST CHARLES, IL 60174(630) 377-6613(630) 377-6225 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2023, Mar 20, 2017, Dec 14, 2015 (3 updates tracked since 2015).

About Centennial Counseling Center, Pc NPPES

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

CENTENNIAL COUNSELING CENTER, PC (NPI 1376544387) is a healthcare organization registered as a mental health in St Charles, Illinois and active in the NPI registry since August 2005. The organization lists Timothy R Buhrt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376544387
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCENTENNIAL COUNSELING CENTER, PC
Location Address1120 E MAIN ST, STE. 201St Charles, IL 60174-2287
Mailing Address1120 E Main St, Ste. 201St Charles, IL 60174-2287 · (630) 377-6613 · Fax (630) 377-6225
Phone(630) 377-6613
Fax(630) 377-6225
Organization SubpartNo
Authorized OfficialTimothy R BuhrtExecutive Director · (630) 377-6613
Enumeration DateAugust 2, 2005
Last NPPES UpdateFebruary 14, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1376544387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 060-007517
1120 E MAIN ST, St Charles, IL 60174
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centennial Counseling Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Centennial Counseling Center, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Mental Health Counselor14
Clinical Social Worker9
Clinical Psychologist3
Marriage and Family Therapist3

Nearest to this location (20)

See all 29
Scott Gleeson, LCPC
Mental Health Counselor
NPI 1770201287
1120 E MAIN ST STE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts MedicareSame address
Krista Mcdunn, LCPC
Mental Health Counselor
NPI 1922694256
1120 E MAIN ST STE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts MedicareSame address
Beverlee Ludema, PSYD
Clinical Psychologist
NPI 1750631560
1120 E MAIN ST SUITE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Timothy Buhrt, PSY.D.
Clinical Psychologist
NPI 1063408250
1120 E MAIN ST STE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Sarah Carroll Turner, LPC
Mental Health Counselor
NPI 1841713997
1120 E MAIN ST STE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Mary Clarke, MA, LCPC, CADC
Mental Health Counselor
NPI 1114077567
1120 E MAIN ST STE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
John Deku, LCPC, NCC
Mental Health Counselor
NPI 1083004055
1120 E MAIN ST STE 102
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Debra Ernst, LCPC
Mental Health Counselor
NPI 1437462546
1120 E MAIN ST STE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Tiffany Markelz, LCSW, CADC
Clinical Social Worker
NPI 1508355215
1120 E MAIN ST STE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Janna Matthis, SOCIAL WORKER
Clinical Social Worker
NPI 1821526245
1120 E MAIN ST STE 102
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Anne Osielski, LPC
Mental Health Counselor
NPI 1871375873
1120 E MAIN ST STE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Kyle Smith, LCPC, NCC
Mental Health Counselor
NPI 1023350154
1120 E MAIN ST SUITE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Steven Smith, LCSW
Clinical Social Worker
NPI 1740717834
1120 E MAIN ST STE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Eileen Sullivan, LCSW
Clinical Social Worker
NPI 1174045827
1120 E MAIN ST STE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Ingo Weigold, LPC
Mental Health Counselor
NPI 1174124747
1120 E MAIN ST STE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Cameron Young, LMFT
Marriage and Family Therapist
NPI 1477071736
1120 E MAIN ST STE 201
St Charles, IL 60174
(630) 377-6613
✔ PECOS✔ Accepts Medicare1.3 mi
Amy Heiman, LCPC
Mental Health Counselor
NPI 1912907932
330 DIVISION DR STE A
Sugar Grove, IL 60554
(630) 708-0317
✔ PECOS✔ Accepts Medicare11 mi
Taryn Colarusso
Clinical Social Worker
NPI 1396292439
110 E COUNTRYSIDE PKWY STE C
Yorkville, IL 60560
(630) 553-1600
✔ PECOS✔ Accepts Medicare18 mi
Bernadette Collins, LMFT
Marriage and Family Therapist
NPI 1134751969
110 E COUNTRYSIDE PKWY STE C
Yorkville, IL 60560
(630) 553-1600
✔ PECOS✔ Accepts Medicare18 mi
Jennifer Mckay, PSYD
Clinical Psychologist
NPI 1649207945
110 E COUNTRYSIDE PKWY
Yorkville, IL 60560
(630) 553-1600
✔ PECOS✔ Accepts Medicare19 mi
See all 29 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Centennial Counseling Center, PC's NPI number?

The NPI number for Centennial Counseling Center, PC is 1376544387. It was assigned to this organization in the NPPES registry on August 2, 2005.

Where is Centennial Counseling Center, PC located?

Centennial Counseling Center, PC is located at 1120 E Main St Ste. 201, St Charles, IL 60174. The listed phone number is (630) 377-6613.

What is Centennial Counseling Center, PC's specialty?

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

Is Centennial Counseling Center, PC enrolled in Medicare?

Yes. Centennial Counseling Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centennial Counseling Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 4 Medicare specialties reassign their Medicare billing to Centennial Counseling Center, PC. A 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 the clinician's services. The largest specialties are Mental Health Counselor (14), Clinical Social Worker (9) and Clinical Psychologist (3). Of these, 2 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Centennial Counseling Center, PC was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.