MS. MICHELLE L PETTY MS, LCPC, NCC
NPI 1598030801
Counselor - Professional in Roscoe, IL

Active since March 20, 2012PECOS EnrolledAccepts Medicare Assignment
11447 2ND ST, ROSCOE, IL 61073(815) 979-1085 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Michelle L Petty Ms, Lcpc, Ncc NPPES

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

MS. MICHELLE L PETTY MS, LCPC, NCC (NPI 1598030801) is an individual professional provider in Roscoe, Illinois, licensed in Illinois (180.009475) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1598030801
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. MICHELLE L PETTYCredential: MS, LCPC, NCC
Location Address11447 2ND STRoscoe, IL 61073-9522
Mailing Address11447 2nd StRoscoe, IL 61073-9522 · (815) 979-1085
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 20, 2012
Last NPPES UpdateJanuary 15, 2015
✔ NPI 1598030801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180.009475✔ Licensed in IL · 178.007926
11447 2ND ST, Roscoe, IL 61073

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

Ms. Michelle L Petty Ms, Lcpc, Ncc 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 ID2264969468
PECOS Enrollment IDI20241230003413
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 Michelle Petty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
9950 N ALPINE RD STE 103
Machesney Park, IL 61115
  • Reassigned Medicare billing, Illinois enrollment
  • 3 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 7

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

Counselor (Professional)
11447 2ND ST, SUITE 9B
ROSCOE, IL 61073
Counselor (Mental Health)
11447 2ND ST
ROSCOE, IL 61073
Social Worker (Clinical)
11447 2ND ST, 9B
ROSCOE, IL 61073
Social Worker
11447 2ND ST
ROSCOE, IL 61073
Social Worker (Clinical)
11447 2ND ST
ROSCOE, IL 61073
Physical Therapist
11447 2ND ST
ROSCOE, IL 61073
Registered Nurse
11447 2ND ST, SUITE 90
ROSCOE, IL 61073

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 Michelle Petty's NPI number?

The NPI number for Michelle Petty is 1598030801. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Michelle Petty located?

Michelle Petty practices at 11447 2nd St, Roscoe, IL 61073. The listed phone number is (815) 979-1085.

What is Michelle Petty's specialty?

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

Is Michelle Petty enrolled in Medicare?

Yes. Michelle Petty 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 Michelle Petty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Petty reassigns Medicare benefits to Alternative Wellness Therapies PLLC (Machesney Park, 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 Michelle Petty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Petty accept?

Health plans from Dean Health Plan, MercyCare, MercyCare Health Plans and Quartz list Michelle Petty 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 Michelle Petty was last updated on January 15, 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.