ANTHONY P HELMA PSY.D.
NPI 1851300073
Psychologist - Clinical in Frankfort, IL

Q: What is Anthony Helma's NPI number?

The NPI number for Anthony Helma is 1851300073. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Anthony Helma's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Anthony Helma enrolled in Medicare?

No. Anthony Helma has opted out of Medicare through November 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Anthony Helma was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 05, 2006Opted out of Medicare · through Nov 1, 2026

9645 LINCOLNWAY LN STE 207A, FRANKFORT, IL 60423(815) 277-7012(844) 859-1447 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Anthony P Helma Psy.d. NPPES

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

ANTHONY P HELMA PSY.D. (NPI 1851300073) is an individual clinical provider in Frankfort, Illinois, licensed in Indiana (20041983A) and active in the NPI registry since August 2006. He has opted out of Medicare through November 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851300073

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameANTHONY P HELMACredential: PSY.D.

Location Address9645 LINCOLNWAY LN STE 207AFrankfort, IL 60423-1908

Mailing Address9645 Lincolnway Ln Ste 207aFrankfort, IL 60423-1908 · (815) 277-7012 · Fax (844) 859-1447

Phone(815) 277-7012

Fax(844) 859-1447

Sole ProprietorNo

Enumeration DateAugust 5, 2006

Last NPPES UpdateDecember 7, 2018

✔ NPI 1851300073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IN · 20041983A

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

9645 LINCOLNWAY LN STE 207A, Frankfort, IL 60423

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Other Identifiers 5

Medicaid200509610IN

OtherN7997725IN · Aetna

Other90001228IN · Bcbsil

Other000000359445IN · Anthem Bcbs

Other597278000IN · Magellan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Anthony P Helma Psy.d. 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 November 1, 2018 through November 1, 2026.

Opt-Out Effective DateNovember 1, 2018

Opt-Out In Effect ThroughNovember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KATARZYNA ZIECIK LPC

Counselor

9645 LINCOLNWAY LN STE 207A
FRANKFORT, IL 60423

Will County (773) 706-7008

KWANG H CHOI PSY.D.

Psychologist (Clinical)

9645 LINCOLNWAY LN STE 207A
FRANKFORT, IL 60423

Will County (815) 277-7012

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 Anthony Helma's NPI number?

The NPI number for Anthony Helma is 1851300073. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Anthony Helma located?

Anthony Helma practices at 9645 Lincolnway Ln Ste 207A, Frankfort, IL 60423. The listed phone number is (815) 277-7012.

What is Anthony Helma's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Anthony Helma enrolled in Medicare?

No. Anthony Helma has opted out of Medicare through November 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Anthony Helma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Providence Health Plan list Anthony Helma 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 Anthony Helma was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.