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ALEX BACA LPC
NPI 1427785567
Counselor - Mental Health in Bloomington, IL

Active since August 08, 2022PECOS EnrolledAccepts Medicare Assignment
808 S ELDORADO RD STE 102, BLOOMINGTON, IL 61704(888) 428-7890 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alex Baca Lpc NPPES

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

ALEX BACA LPC (NPI 1427785567) is an individual mental health provider in Bloomington, Illinois, licensed in Illinois (180017823) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427785567
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameALEX BACACredential: LPC
Location Address808 S ELDORADO RD STE 102Bloomington, IL 61704-6075
Mailing Address3027 English Rows Ave Ste 207Naperville, IL 60564-5107 · (888) 428-7890
Phone(888) 428-7890
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 8, 2022
Last NPPES UpdateJune 27, 2026
NPPES CertifiedJune 27, 2026
✔ NPI 1427785567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180017823
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178018156 (IL)
808 S ELDORADO RD STE 102, Bloomington, IL 61704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Alex Baca Lpc 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 ID749755908
PECOS Enrollment IDI20260406003472
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 Alex Baca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgewood Clinical Services, P.C.
95 mi
Psychologist
2948 ARTESIAN RD STE 112
Naperville, IL 60564
  • Reassigned Medicare billing, Illinois enrollment
  • 475 clinicians in this Medicare group
NPI 1295914646 (630) 428-7890

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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA FETTER
Counselor (Mental Health)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (888) 428-7890
PSYCHOLOGY SPECIALISTS LTD
Psychologist (Clinical)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (888) 428-7890
JACOB P REGISTER LCSW
Social Worker (Clinical)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (309) 706-3190
ATHENA DACANAY PSYD
Psychologist (Clinical)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (309) 706-3190
MRS. JACLYN A. ORTON LCSW
Social Worker (Clinical)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (309) 706-3190
SEHAR RESHAMWALA MALINOWSKI LCPC
Counselor (Mental Health)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (888) 428-7890
SOPHIA ANNE-MARIE GAWRON LCSW
Social Worker (Clinical)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (888) 428-7890
MRS. VANESSA IRIS GRANGER-BELCHER LCPC
Counselor (Mental Health)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (309) 706-3190

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 Alex Baca's NPI number?

The NPI number for Alex Baca is 1427785567. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Alex Baca located?

Alex Baca practices at 808 S Eldorado Rd Ste 102, Bloomington, IL 61704. The listed phone number is (888) 428-7890.

What is Alex Baca's specialty?

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

Is Alex Baca enrolled in Medicare?

Yes. Alex Baca 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 Alex Baca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Baca reassigns Medicare benefits to Edgewood Clinical Services, P.C. (Naperville, 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 Alex Baca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alex Baca accept?

Health plans from UnitedHealthcare list Alex Baca 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 Alex Baca was last updated on June 27, 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.