MRS. MICHELLE L ROLLEY MS, LCPC
NPI 1669626362
Counselor - Mental Health in Bloomington, IL

Active since November 06, 2008Opted out of Medicare · through Feb 16, 2028
220 N ELDORADO RD, SUITE A, BLOOMINGTON, IL 61704(309) 663-2229(309) 263-9336 Get Directions Write a Review

NPPES record last updated: November 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Michelle L Rolley Ms, Lcpc NPPES

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

MRS. MICHELLE L ROLLEY MS, LCPC (NPI 1669626362) is an individual mental health provider in Bloomington, Illinois, licensed in Illinois (180.003072) and active in the NPI registry since November 2008. She has opted out of Medicare through February 16, 2028.

NPPES Registry Identity

NPI1669626362
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MICHELLE L ROLLEYCredential: MS, LCPC
Location Address220 N ELDORADO RD, SUITE ABloomington, IL 61704-7703
Mailing Address220 N Eldorado Rd, Suite ABloomington, IL 61704-7703 · (309) 663-2229 · Fax (309) 263-9336
Fax(309) 263-9336
Sole ProprietorNo
Enumeration DateNovember 6, 2008
NPI 1669626362 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 · 180.003072
220 N ELDORADO RD, Bloomington, IL 61704

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Michelle L Rolley Ms, Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 16, 2024 through February 16, 2028.

Opt-Out Effective DateFebruary 16, 2024
Opt-Out In Effect ThroughFebruary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Chiropractor
220 N ELDORADO RD, SUITE B
BLOOMINGTON, IL 61704
Chiropractor
220 N ELDORADO RD
BLOOMINGTON, IL 61704
Chiropractor
220 N ELDORADO RD, SUITE B
BLOOMINGTON, IL 61704

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 Rolley's NPI number?

The NPI number for Michelle Rolley is 1669626362. It was assigned to this individual provider in the NPPES registry on November 6, 2008.

Where is Michelle Rolley located?

Michelle Rolley practices at 220 N Eldorado Rd Suite A, Bloomington, IL 61704. The listed phone number is (309) 663-2229.

What is Michelle Rolley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michelle Rolley enrolled in Medicare?

No. Michelle Rolley has opted out of Medicare through February 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michelle Rolley was last updated on November 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.