MR. MICHAEL VILLARREAL LCPC
NPI 1851721039
Counselor - Professional in Chicago, IL
- Individual
- Male
- Counselor
- Professional
- Opted-Out Medicare
About MICHAEL VILLARREAL
This page provides the complete NPI Profile along with additional information for Michael Villarreal, a provider established in Chicago, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1851721039 assigned on November 2013. The practitioner's primary taxonomy code is 101YP2500X with license number 180010064 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1851721039 Verify this NPI
- Provider Name
- MR. MICHAEL VILLARREAL LCPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4001 N WOLCOTT AVE CHICAGO, IL 60613
- Location Phone
- (773) 789-9775
- Mailing Address
- 4001 N WOLCOTT AVE CHICAGO, IL 60613
- Mailing Phone
- (773) 991-5762
- Mailing Fax
- (312) 661-5235
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-25-2013
- Last Update Date
- 06-12-2025
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Michael Villarreal opted out of Medicare effective on 03-25-2024 until 03-25-2028. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 645 N Michigan Ave Ste 803
Chicago, IL 60611
(773) 789-9775 - 1 E Superior St Ste 301
Chicago, IL 60611
(773) 789-9775 - 405 N Wabash Ave Unit 1815
Chicago, IL 60611
(773) 789-9775
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180010064
- License State
- IL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101YP2500X | OTHER (01) | IL | CMS.GOV |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-25-2024
Opt-Out End Date: 03-25-2028
Eligible to Order and Refer? No
Reviews for MR. MICHAEL VILLARREAL LCPC
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851721039, enumerated as an "individual" on November 25, 2013.
The provider is located at 4001 N WOLCOTT AVE CHICAGO, IL 60613 and the phone number is (773) 789-9775.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
