ADAM BECERRA
NPI 1861896896
Counselor - Professional in Alsip, IL

Active since October 20, 2014Opted out of Medicare · through Apr 18, 2028
4100 W 127TH ST, ALSIP, IL 60803(708) 371-9700 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adam Becerra NPPES

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

ADAM BECERRA (NPI 1861896896) is an individual professional provider in Alsip, Illinois, licensed in Illinois (178.010386) and active in the NPI registry since October 2014. He has opted out of Medicare through April 18, 2028.

NPPES Registry Identity

NPI1861896896
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameADAM BECERRA
Location Address4100 W 127TH STAlsip, IL 60803-1925
Mailing Address4100 W 127th StAlsip, IL 60803-1925
Sole ProprietorNo
Enumeration DateOctober 20, 2014
NPI 1861896896 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 · 178.010386
4100 W 127TH ST, Alsip, IL 60803

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Adam Becerra 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 April 18, 2024 through April 18, 2028.

Opt-Out Effective DateApril 18, 2024
Opt-Out In Effect ThroughApril 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
4100 W 127TH ST
ALSIP, IL 60803
Voluntary or Charitable
4100 W 127TH ST
ALSIP, IL 60803
Clinic/Center (Mental Health (Including Community Mental Health Center))
4100 W 127TH ST
ALSIP, IL 60803
Counselor (Professional)
4100 W 127TH ST
ALSIP, IL 60803
Counselor
4100 W 127TH ST
ALSIP, IL 60803

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 Adam Becerra's NPI number?

The NPI number for Adam Becerra is 1861896896. It was assigned to this individual provider in the NPPES registry on October 20, 2014.

Where is Adam Becerra located?

Adam Becerra practices at 4100 W 127th St, Alsip, IL 60803. The listed phone number is (708) 371-9700.

What is Adam Becerra's specialty?

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

Is Adam Becerra enrolled in Medicare?

No. Adam Becerra has opted out of Medicare through April 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Adam Becerra was last updated on October 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.