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ATHENA NEOFOTISTOS LCPC
NPI 1558980995
Counselor - Professional in Elmhurst, IL

Active since April 15, 2020PECOS Enrolled
180 W PARK AVE STE 150, ELMHURST, IL 60126(630) 884-9021 Get Directions Write a Review

NPPES record last updated: December 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 28, 2025, Apr 20, 2022, Apr 15, 2020 (3 updates tracked since 2020).

About Athena Neofotistos Lcpc NPPES

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

ATHENA NEOFOTISTOS LCPC (NPI 1558980995) is an individual professional provider in Elmhurst, Illinois, licensed in Illinois (180017812) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elmhurst, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1558980995
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameATHENA NEOFOTISTOSCredential: LCPC
Location Address180 W PARK AVE STE 150Elmhurst, IL 60126-3348
Mailing Address180 W Park Ave Ste 150Elmhurst, IL 60126-3348 · (630) 884-9021
Phone(630) 884-9021
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 15, 2020
Last NPPES UpdateDecember 28, 20253 updates tracked since enumeration
NPPES CertifiedDecember 28, 2025
✔ NPI 1558980995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180017812
180 W PARK AVE STE 150, Elmhurst, IL 60126
Open in Google Maps ↗

Secondary Practice Location 1

Location 1550 W Saint Charles RdElmhurst, IL 60126-3038 · Phone (331) 263-8083

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 (PECOS)

Athena Neofotistos Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527531144
PECOS Enrollment IDI20260625001626
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 Athena Neofotistos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgewood Clinical Services, P.C.
18 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 6

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

MS. TIFFANY J MICHALAK LCPC
Counselor (Professional)
180 W PARK AVE STE 150
ELMHURST, IL 60126
Dupage County (888) 428-7890
NATHANIEL JEFFERY CATCHINGS II LPC
Counselor (Professional)
180 W PARK AVE STE 150
ELMHURST, IL 60126
Dupage County (888) 428-7890
FIRAS QURESHI
Counselor (Professional)
180 W PARK AVE STE 150
ELMHURST, IL 60126
Dupage County (630) 235-8089
REBECCA LYNNE TOLLE LCSW
Social Worker (Clinical)
180 W PARK AVE STE 150
ELMHURST, IL 60126
Dupage County (630) 428-7890
SARA P MUELLER
Counselor (Mental Health)
180 W PARK AVE STE 150
ELMHURST, IL 60126
Dupage County (630) 884-9021
EVARISTO ARMANDO RIOS JR.
Social Worker
180 W PARK AVE STE 150
ELMHURST, IL 60126
Dupage County (630) 884-9021

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 Athena Neofotistos's NPI number?

The NPI number for Athena Neofotistos is 1558980995. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Athena Neofotistos located?

Athena Neofotistos practices at 180 W Park Ave Ste 150, Elmhurst, IL 60126. The listed phone number is (630) 884-9021.

What is Athena Neofotistos's specialty?

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

Is Athena Neofotistos enrolled in Medicare?

Yes. Athena Neofotistos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Athena Neofotistos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Athena Neofotistos 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 Athena Neofotistos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Athena Neofotistos accept?

Health plans from UnitedHealthcare list Athena Neofotistos 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 Athena Neofotistos was last updated on December 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.