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MRS. AUTUMN ASHLEY DEKOSTER LCPC, LMHP, CAADC
NPI 1699339978
Counselor - Professional in Moline, IL

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
1465 41ST ST STE 6, MOLINE, IL 61265(309) 232-8669(309) 326-4521 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2025, Jun 27, 2024, Mar 30, 2023 and 5 more (8 updates tracked since 2019).

About Mrs. Autumn Ashley Dekoster Lcpc, Lmhp, Caadc NPPES

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

MRS. AUTUMN ASHLEY DEKOSTER LCPC, LMHP, CAADC (NPI 1699339978) is an individual professional provider in Moline, Illinois, licensed in Illinois (180.013574) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Moline, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699339978
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. AUTUMN ASHLEY DEKOSTERCredential: LCPC, LMHP, CAADC
Location Address1465 41ST ST STE 6Moline, IL 61265-2579
Mailing Address1465 41st St Ste 6Moline, IL 61265-2579 · (309) 232-8669 · Fax (093) 326-4521
Phone(309) 232-8669
Fax(309) 326-4521
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 23, 2019
Last NPPES UpdateSeptember 1, 20258 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2025
✔ NPI 1699339978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180.013574✔ Licensed in IA · 108785
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 36433 (IL)
1465 41ST ST STE 6, Moline, IL 61265
Open in Google Maps ↗

Other Names 1

Former Name (1)Autumn Ashley Gonzalez

Secondary Practice Location 1

Location 14101 John Deere RdMoline, IL 61265-9951 · Phone (309) 762-5433 · Fax (309) 762-4481

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Mrs. Autumn Ashley Dekoster Lcpc, Lmhp, Caadc 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 ID9234574989
PECOS Enrollment IDI20240304003004
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 Autumn Dekoster reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pulse Counseling & Wellness Center PLLC
Same address
Mental Health
1465 41ST ST STE 6
Moline, IL 61265
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1245008754 (309) 232-8669

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 5

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

ALESIA AUDRI JUAREZ LPC
Counselor (Professional)
1465 41ST ST STE 6
MOLINE, IL 61265
Rock Island County (309) 232-8669
PULSE COUNSELING & WELLNESS CENTER PLLC
Counselor (Mental Health)
1465 41ST ST STE 6
MOLINE, IL 61265
Rock Island County (309) 232-8669
MIRYAM T HUNTER LMSW
Social Worker (Clinical)
1465 41ST ST STE 6
MOLINE, IL 61265
Rock Island County (309) 232-8669
MR. TIMOTHY GLEN HILLYER MSW, LCSW, LISW
Social Worker
1465 41ST ST STE 6
MOLINE, IL 61265
Rock Island County (309) 232-8669
SUSAN JEAN KLINGAMAN LMSW
Social Worker
1465 41ST ST STE 6
MOLINE, IL 61265
Rock Island County (309) 232-8669

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 Autumn Dekoster's NPI number?

The NPI number for Autumn Dekoster is 1699339978. It was assigned to this individual provider in the NPPES registry on April 23, 2019. The provider is also known as Autumn Ashley Gonzalez.

Where is Autumn Dekoster located?

Autumn Dekoster practices at 1465 41st St Ste 6, Moline, IL 61265. The listed phone number is (309) 232-8669.

What is Autumn Dekoster's specialty?

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

Is Autumn Dekoster enrolled in Medicare?

Yes. Autumn Dekoster 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 Autumn Dekoster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Dekoster reassigns Medicare benefits to Pulse Counseling & Wellness Center PLLC (Moline, 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 Autumn Dekoster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Dekoster accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and UnitedHealthcare and 1 other insurer list Autumn Dekoster 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 Autumn Dekoster was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.