YVONNE LICAVOLI
NPI 1760113005
Counselor - Professional in Swansea, IL

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment
4509 N ILLINOIS ST STE 4, SWANSEA, IL 62226(314) 669-5060 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yvonne Licavoli NPPES

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

YVONNE LICAVOLI (NPI 1760113005) is an individual professional provider in Swansea, Illinois, licensed in Illinois (178015261) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760113005
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameYVONNE LICAVOLI
Location Address4509 N ILLINOIS ST STE 4Swansea, IL 62226-1524
Mailing Address9626 Ridge Heights RdFairview Heights, IL 62208-2319 · (314) 397-1428
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 17, 2022
NPPES CertifiedJune 17, 2022
NPI 1760113005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178015261
4509 N ILLINOIS ST STE 4, Swansea, IL 62226

Accepted 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

Yvonne Licavoli 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 ID9739696311
PECOS Enrollment IDI20250729001091
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.

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 Yvonne Licavoli's NPI number?

The NPI number for Yvonne Licavoli is 1760113005. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Yvonne Licavoli located?

Yvonne Licavoli practices at 4509 N Illinois St Ste 4, Swansea, IL 62226. The listed phone number is (314) 669-5060.

What is Yvonne Licavoli's specialty?

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

Is Yvonne Licavoli enrolled in Medicare?

Yes. Yvonne Licavoli 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 Yvonne Licavoli accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Yvonne Licavoli 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 Yvonne Licavoli was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.