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ANGELA JEAN POTACZEK
NPI 1891847588
Counselor - Professional in Oak Park, IL

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
120 S MARION ST, OAK PARK, IL 60302(708) 383-7500(708) 383-7780 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Angela Jean Potaczek NPPES

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

ANGELA JEAN POTACZEK (NPI 1891847588) is an individual professional provider in Oak Park, Illinois and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1891847588
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELA JEAN POTACZEK
Location Address120 S MARION STOak Park, IL 60302-2809
Mailing Address1745 N Natoma AveChicago, IL 60707-3917
Phone(708) 383-7500
Fax(708) 383-7780
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891847588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
120 S MARION ST, Oak Park, IL 60302
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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

Angela Jean Potaczek 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 ID5193175933
PECOS Enrollment IDI20240508003108
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 Angela Potaczek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Counseling Center
Same address
Mental Health (Including Community Mental Health Center)
120 S MARION ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
NPI 1467586669 (708) 383-7500

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 20

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

CARMEL PERRONE LCSW
Social Worker (Clinical)
120 S MARION ST
OAK PARK, IL 60302
Cook County (708) 383-7500
JANET MARIE MANKOFF
Social Worker (Clinical)
120 S MARION ST
OAK PARK, IL 60302
Cook County (708) 383-7500
SAMANTHA BILL LPC
Counselor (Mental Health)
120 S MARION ST
OAK PARK, IL 60302
Cook County (708) 383-7500
NIKISHA S BURKS CADC
Counselor (Mental Health)
120 S MARION ST
OAK PARK, IL 60302
Cook County (708) 383-7500
MRS. SHEILA RAE HEMKER M.S.W., LCSW
Social Worker (Clinical)
120 S MARION ST, 4TH FLOOR
OAK PARK, IL 60302
Cook County (708) 386-2100
MIRANDA ESTRADA LSW
Social Worker
120 S MARION ST
OAK PARK, IL 60302
Cook County (708) 383-7500
CHRISTOPHER JAY FOX LCSW
Social Worker (Clinical)
120 S MARION ST
OAK PARK, IL 60302
Cook County (708) 383-7500
DOMINIQUE LEONARDI QMHP
Counselor (Mental Health)
120 S MARION ST
OAK PARK, IL 60302
Cook County (708) 383-7500

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 Angela Potaczek's NPI number?

The NPI number for Angela Potaczek is 1891847588. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Angela Potaczek located?

Angela Potaczek practices at 120 S Marion St, Oak Park, IL 60302. The listed phone number is (708) 383-7500.

What is Angela Potaczek's specialty?

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

Is Angela Potaczek enrolled in Medicare?

Yes. Angela Potaczek 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 Angela Potaczek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Potaczek reassigns Medicare benefits to Thrive Counseling Center (Oak Park, 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 Angela Potaczek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angela Potaczek was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.