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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: July 26, 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
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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 Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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

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.

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.

SUSAN JEAN KLINGAMAN LMSW
Social Worker
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
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
ALESIA AUDRI JUAREZ LPC
Counselor (Professional)
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.

What insurance does Autumn Dekoster accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers 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 with the weekly NPPES data releases published by CMS.