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DR. MICHAEL G TAVOLACCI LPC
NPI 1518592872
Counselor - Professional in Roselle, IL

Active since March 06, 2020PECOS EnrolledAccepts Medicare Assignment
390 E DEVON AVE STE 201, ROSELLE, IL 60172(630) 358-9821 Get Directions Write a Review

NPPES record last updated: March 7, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Michael G Tavolacci Lpc NPPES

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

DR. MICHAEL G TAVOLACCI LPC (NPI 1518592872) is an individual professional provider in Roselle, Illinois, licensed in Illinois (178015764) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1518592872
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. MICHAEL G TAVOLACCICredential: LPC
Location Address390 E DEVON AVE STE 201Roselle, IL 60172-1763
Mailing Address223 W Country DrBartlett, IL 60103-4674 · (630) 803-3591
Phone(630) 358-9821
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 6, 2020
Last NPPES UpdateMarch 7, 2020
NPPES CertifiedMarch 7, 2020
✔ NPI 1518592872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178015764
Also ListedCounselorTaxonomy 101Y00000X · License 178015764 (IL)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 178015764 (IL)
390 E DEVON AVE STE 201, Roselle, IL 60172
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Accepted Insurance

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

Dr. Michael G Tavolacci 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 ID5193154235
PECOS Enrollment IDI20240312003090
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 Michael Tavolacci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Modern Me Psychology PC
Same address
Clinical
390 E DEVON AVE STE 201
Roselle, IL 60172
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1841830338 (630) 803-3524

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 5

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

KRISTEN JUDITH BEECK LPC
Counselor (Professional)
390 E DEVON AVE STE 201
ROSELLE, IL 60172
Dupage County (630) 358-9821
AMANDA WORTH MA
Counselor (Professional)
390 E DEVON AVE STE 201
ROSELLE, IL 60172
Dupage County (630) 358-9821
DR. NAHRAIN TAVOLACCI PSYD
Psychologist (Clinical)
390 E DEVON AVE STE 201
ROSELLE, IL 60172
Dupage County (630) 803-3524
DANIELLE NICOLE GIOVANNETTI-O'HALLORAN
Counselor
390 E DEVON AVE STE 201
ROSELLE, IL 60172
Dupage County (630) 358-9821
MODERN ME PSYCHOLOGY PC
Psychologist (Clinical)
390 E DEVON AVE STE 201
ROSELLE, IL 60172
Dupage County (630) 803-3524

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 Michael Tavolacci's NPI number?

The NPI number for Michael Tavolacci is 1518592872. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Where is Michael Tavolacci located?

Michael Tavolacci practices at 390 E Devon Ave Ste 201, Roselle, IL 60172. The listed phone number is (630) 358-9821.

What is Michael Tavolacci's specialty?

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

Is Michael Tavolacci enrolled in Medicare?

Yes. Michael Tavolacci 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 Michael Tavolacci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Tavolacci reassigns Medicare benefits to Modern Me Psychology PC (Roselle, 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 Michael Tavolacci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Tavolacci accept?

Health plans from Oscar Health list Michael Tavolacci 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 Michael Tavolacci was last updated on March 7, 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.