1. Home
  2. Directory
  3. Illinois
  4. Champaign
  5. Counselor
  6. NPI Profile

FIDA ABDELRASOUL LSW
NPI 1669021010
Counselor - Mental Health in Champaign, IL

Active since September 09, 2019PECOS EnrolledAccepts Medicare Assignment
505 W UNIVERSITY AVE STE 211, CHAMPAIGN, IL 61820(224) 338-7754 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1669021010
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameFIDA ABDELRASOULCredential: LSW
Location Address505 W UNIVERSITY AVE STE 211Champaign, IL 61820-3915
Mailing Address505 W University Ave Ste 211Champaign, IL 61820-3915 · (224) 338-7754
Phone(224) 338-7754
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 9, 2019
✔ NPI 1669021010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 150.103891
505 W UNIVERSITY AVE STE 211, Champaign, IL 61820
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4486058328
PECOS Enrollment IDI20210813002115
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.

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.

APPROACHABLE THERAPY LLC
Social Worker (Clinical)
505 W UNIVERSITY AVE STE 211
CHAMPAIGN, IL 61820
Champaign County (217) 398-3124
LAURIE A. GILBERT LCSW
Social Worker (Clinical)
505 W UNIVERSITY AVE STE 211
CHAMPAIGN, IL 61820
Champaign County (217) 398-3124

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.

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 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.