CESIAH BANUELOS LCPC
NPI 1417343666
Counselor - Mental Health in Chicago, IL

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment
3600 W FULLERTON AVE, CHICAGO, IL 60647(773) 782-2800(773) 772-9105 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cesiah Banuelos Lcpc NPPES

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

CESIAH BANUELOS LCPC (NPI 1417343666) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180008957) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1417343666
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCESIAH BANUELOSCredential: LCPC
Location Address3600 W FULLERTON AVEChicago, IL 60647-2319
Mailing Address5006 N Hermitage Ave Apt 1eChicago, IL 60640-2733 · (773) 310-0248
Fax(773) 772-9105
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 14, 2015
✔ NPI 1417343666 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 · 180008957
3600 W FULLERTON AVE, Chicago, IL 60647

Other Names 1

Other Name (5)Cesiah Minerva Banuelos Robles Lcpc

Accepted Insurance

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

Cesiah Banuelos 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 ID9830533041
PECOS Enrollment IDI20240215002454
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 Reassignment

Medicare enrollment records show Cesiah Banuelos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
3111 W ARMITAGE AVE
Chicago, IL 60647
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group

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

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.

Clinical Nurse Specialist
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner (Family)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Social Worker (Clinical)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner (Family)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner (Family)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Pediatrics
3600 W FULLERTON AVE
CHICAGO, IL 60647
Midwife
3600 W FULLERTON AVE
CHICAGO, IL 60647

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 Cesiah Banuelos's NPI number?

The NPI number for Cesiah Banuelos is 1417343666. It was assigned to this individual provider in the NPPES registry on April 14, 2015. The provider is also known as Cesiah Minerva Banuelos Robles Lcpc.

Where is Cesiah Banuelos located?

Cesiah Banuelos practices at 3600 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 782-2800.

What is Cesiah Banuelos's specialty?

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

Is Cesiah Banuelos enrolled in Medicare?

Yes. Cesiah Banuelos 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 organization bills Medicare for Cesiah Banuelos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cesiah Banuelos reassigns Medicare benefits to Mount Sinai Community Foundation (Chicago, IL). The 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 Cesiah Banuelos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cesiah Banuelos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Cesiah Banuelos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cesiah Banuelos was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.