INNER MISSION LLC
NPI 1609243492
Counselor - Mental Health in St Charles, IL
About Inner Mission Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNER MISSION LLC (NPI 1609243492) is a healthcare organization registered as a mental health in St Charles, Illinois and active in the NPI registry since August 2015. The organization lists Kristin A Hultgren, Lcpc, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Inner Mission 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 Inner Mission LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Inner Mission LLC's NPI number?
The NPI number for Inner Mission LLC is 1609243492. It was assigned to this organization in the NPPES registry on August 27, 2015.
Where is Inner Mission LLC located?
Inner Mission LLC is located at 801 E Main St, St Charles, IL 60174. The listed phone number is (630) 800-5207.
What is Inner Mission LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Inner Mission LLC enrolled in Medicare?
Yes. Inner Mission LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Inner Mission LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Inner Mission 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 Inner Mission LLC was last updated on August 27, 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.
# Inner Mission Llc · NPI 1609243492
Mental Health organization in St Charles, Illinois. Organization record, active in the CMS NPPES registry since August 27, 2015.
## Identity
- **NPI:** 1609243492 (Entity type: Organization)
- **Enumerated:** August 27, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Kristin Hultgren, LCPC, OWNER
## Practice location
- **Address:** 801 E MAIN ST, St Charles, IL 60174-2294
- **Phone:** (630) 800-5207 · **Fax:** (630) 820-0170
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1609243492) · Data from the CMS NPPES public registry.