FIDA ABDELRASOUL LSW
NPI 1669021010
Counselor - Mental Health in Champaign, IL
About Fida Abdelrasoul Lsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIDA ABDELRASOUL LSW (NPI 1669021010) is an individual mental health provider in Champaign, Illinois, licensed in Illinois (150.103891) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Fida Abdelrasoul Lsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Fida Abdelrasoul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Champaign, IL 61820
- Reassigned Medicare billing, Illinois enrollment
- 2 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fida Abdelrasoul's NPI number?
The NPI number for Fida Abdelrasoul is 1669021010. It was assigned to this individual provider in the NPPES registry on September 9, 2019.
Where is Fida Abdelrasoul located?
Fida Abdelrasoul practices at 505 W University Ave Ste 211, Champaign, IL 61820. The listed phone number is (224) 338-7754.
What is Fida Abdelrasoul's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Fida Abdelrasoul enrolled in Medicare?
Yes. Fida Abdelrasoul 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 Fida Abdelrasoul's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fida Abdelrasoul reassigns Medicare benefits to Soul Counseling, PLLC (Champaign, 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 Fida Abdelrasoul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Fida Abdelrasoul was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Fida Abdelrasoul, LSW · NPI 1669021010
Mental Health provider in Champaign, Illinois. Individual provider, active in the CMS NPPES registry since September 9, 2019.
## Identity
- **NPI:** 1669021010 (Entity type: Individual)
- **Enumerated:** September 9, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 150.103891 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 505 W UNIVERSITY AVE STE 211, Champaign, IL 61820-3915
- **Phone:** (224) 338-7754
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Soul Counseling, PLLC (NPI 1932825122, Champaign, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 9, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1669021010) · Data from the CMS NPPES public registry.