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WADE M STARK
NPI 1801430988
Counselor - Mental Health in Charleston, IL

Active since November 01, 2019PECOS EnrolledAccepts Medicare Assignment
626 W LINCOLN AVE, CHARLESTON, IL 61920(217) 345-7702(217) 345-7705 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 12, 2025, Nov 1, 2019 (2 updates tracked since 2019).

About Wade M Stark NPPES

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

WADE M STARK (NPI 1801430988) is an individual mental health provider in Charleston, Illinois, licensed in Illinois (180013660) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1801430988
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWADE M STARK
Location Address626 W LINCOLN AVECharleston, IL 61920-2444
Mailing Address626 W Lincoln AveCharleston, IL 61920-2444 · (217) 345-7702 · Fax (217) 345-7705
Phone(217) 345-7702
Fax(217) 345-7705
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 1, 2019
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1801430988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180013660
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
626 W LINCOLN AVE, Charleston, IL 61920
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar 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

Wade M Stark 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 ID5092221077
PECOS Enrollment IDI20250718000397
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 Wade Stark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Illinois Healthcare Foundation, Inc.
Same address
Federally Qualified Health Center (FQHC)
626 W LINCOLN AVE
Charleston, IL 61920
  • Reassigned Medicare billing, Illinois enrollment
  • 164 clinicians in this Medicare group
NPI 1487070835 (217) 345-7702

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 2

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
626 W LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 345-7702
MS. JANETTE S MARCIANO PA-C
Physician Assistant
626 W LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 345-7702

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 Wade Stark's NPI number?

The NPI number for Wade Stark is 1801430988. It was assigned to this individual provider in the NPPES registry on November 1, 2019.

Where is Wade Stark located?

Wade Stark practices at 626 W Lincoln Ave, Charleston, IL 61920. The listed phone number is (217) 345-7702.

What is Wade Stark's specialty?

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

Is Wade Stark enrolled in Medicare?

Yes. Wade Stark 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 Wade Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wade Stark reassigns Medicare benefits to Southern Illinois Healthcare Foundation, Inc. (Charleston, 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 Wade Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wade Stark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Health and UnitedHealthcare list Wade Stark 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 Wade Stark was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.