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BACK TO BASICS COUNSELING, LLC
NPI 1437773579
Social Worker - Clinical in Decatur, IL

Active since June 04, 2020
106 N MAIN ST, DECATUR, IL 62523(217) 821-8269 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2020, Jun 20, 2020, Jun 4, 2020 (3 updates tracked since 2020).

About Back To Basics Counseling, Llc NPPES

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

BACK TO BASICS COUNSELING, LLC (NPI 1437773579) is a healthcare organization registered as a clinical in Decatur, Illinois and active in the NPI registry since June 2020. The organization maintains a secondary practice location in Decatur and lists Jaymie L Mccammon, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1437773579
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBACK TO BASICS COUNSELING, LLC
Location Address106 N MAIN STDecatur, IL 62523-1207
Mailing Address106 N Main StDecatur, IL 62523-1207 · (779) 220-0441
Phone(217) 821-8269
Organization SubpartNo
Authorized OfficialJaymie L MccammonLcsw · (779) 220-0441
Enumeration DateJune 4, 2020
Last NPPES UpdateJuly 17, 20203 updates tracked since enumeration
NPPES CertifiedJuly 17, 2020
✔ NPI 1437773579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
106 N MAIN ST, Decatur, IL 62523
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Secondary Practice Location 1

Location 13350 N MacArthur RdDecatur, IL 62526-1449 · Phone (217) 821-8269

Other Identifiers 1

Other1194099853IL · Npi 1

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)

Back To Basics Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Back To Basics Counseling, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jaymie Mccammon, LCSW
Clinical Social Worker
NPI 1194099853
106 N MAIN ST
Decatur, IL 62523
(779) 220-0441
✔ PECOS✔ Accepts MedicareSame address

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 Back To Basics Counseling, LLC's NPI number?

The NPI number for Back To Basics Counseling, LLC is 1437773579. It was assigned to this organization in the NPPES registry on June 4, 2020.

Where is Back To Basics Counseling, LLC located?

Back To Basics Counseling, LLC is located at 106 N Main St, Decatur, IL 62523. The listed phone number is (217) 821-8269.

What is Back To Basics Counseling, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Back To Basics Counseling, LLC enrolled in Medicare?

Yes. Back To Basics Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Back To Basics Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Back To Basics Counseling, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Back To Basics Counseling, LLC was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.