EDWARD BACON LCPC
NPI 1396252649
Counselor - Professional in Decatur, IL

Q: What is Edward Bacon's NPI number?

The NPI number for Edward Bacon is 1396252649. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Q: What is Edward Bacon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edward Bacon was last updated on January 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 09, 2018

790 E MOUND RD, DECATUR, IL 62526(309) 323-8988 Get Directions Write a Review

NPPES record last updated: January 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Edward Bacon Lcpc NPPES

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

EDWARD BACON LCPC (NPI 1396252649) is an individual professional provider in Decatur, Illinois, licensed in Illinois (180.011347) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1396252649

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameEDWARD BACONCredential: LCPC

Location Address790 E MOUND RDDecatur, IL 62526-1951

Mailing Address2552 Lansdowne DrDecatur, IL 62521-4972

Phone(309) 323-8988

Sole ProprietorYes

Enumeration DateJanuary 9, 2018

✔ NPI 1396252649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180.011347

790 E MOUND RD, Decatur, IL 62526

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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 Edward Bacon's NPI number?

The NPI number for Edward Bacon is 1396252649. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Where is Edward Bacon located?

Edward Bacon practices at 790 E Mound Rd, Decatur, IL 62526. The listed phone number is (309) 323-8988.

What is Edward Bacon's specialty?

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

When was this NPI record last updated?

The NPPES record for Edward Bacon was last updated on January 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.