COMPLETE CARE BEHAVIORAL HEALTH PLLC
NPI 1396526737
Nurse Practitioner - Psychiatric/Mental Health in Bolingbrook, IL

Active since October 11, 2023
440 W BOUGHTON RD, BOLINGBROOK, IL 60440(630) 405-7820(630) 405-7821 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 6, 2026, Jul 15, 2024, Oct 11, 2023 (3 updates tracked since 2023).

About Complete Care Behavioral Health Pllc NPPES

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

COMPLETE CARE BEHAVIORAL HEALTH PLLC (NPI 1396526737) is a healthcare organization registered as a psychiatric/mental health in Bolingbrook, Illinois and active in the NPI registry since October 2023. The organization lists Senami Olubunmi Edalere-lukula, Owner, as its authorized official.

NPPES Registry Identity

NPI1396526737
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCOMPLETE CARE BEHAVIORAL HEALTH PLLC
Location Address440 W BOUGHTON RDBolingbrook, IL 60440-1892
Mailing Address440 W Boughton RdBolingbrook, IL 60440-1892
Fax(630) 405-7821
Organization SubpartNo
Authorized OfficialSenami Olubunmi Edalere-lukulaOwner · (773) 983-7028
Enumeration DateOctober 11, 2023
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1396526737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
440 W BOUGHTON RD, Bolingbrook, IL 60440

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Complete Care Behavioral Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Complete Care Behavioral Health PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1942999784
440 W BOUGHTON RD
Bolingbrook, IL 60440
(773) 983-7028
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730031121
440 W BOUGHTON RD STE E
Bolingbrook, IL 60440
(815) 278-0404
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790487585
2706 MISTY BROOK LN
Joliet, IL 60432
(815) 603-7587
✔ PECOS12 mi

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 Complete Care Behavioral Health PLLC's NPI number?

The NPI number for Complete Care Behavioral Health PLLC is 1396526737. It was assigned to this organization in the NPPES registry on October 11, 2023.

Where is Complete Care Behavioral Health PLLC located?

Complete Care Behavioral Health PLLC is located at 440 W Boughton Rd, Bolingbrook, IL 60440. The listed phone number is (630) 405-7820.

What is Complete Care Behavioral Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Complete Care Behavioral Health PLLC enrolled in Medicare?

Yes. Complete Care Behavioral Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Complete Care Behavioral Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Complete Care Behavioral Health PLLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Complete Care Behavioral Health PLLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.