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BLUE LAVENDER CLINICAL SERVICES LLC
NPI 1932879459
Community/Behavioral Health in St. Charles, IL

Active since September 16, 2021
2325 DEAN STREET, SUITE 500, ST. CHARLES, IL 60175(630) 962-2761 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blue Lavender Clinical Services Llc NPPES

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

BLUE LAVENDER CLINICAL SERVICES LLC (NPI 1932879459) is a healthcare organization registered as a community/behavioral health in St. Charles, Illinois and active in the NPI registry since September 2021. The organization lists Karen Hammond, Lcsw; Owner, as its authorized official.

NPPES Registry Identity

NPI1932879459
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBLUE LAVENDER CLINICAL SERVICES LLC
Location Address2325 DEAN STREET, SUITE 500St. Charles, IL 60175
Mailing Address2325 Dean Street, Suite 500St. Charles, IL 60175 · (630) 962-2761
Phone(630) 962-2761
Organization SubpartNo
Authorized OfficialKaren HammondLcsw; Owner · (630) 962-2761
Enumeration DateSeptember 16, 2021
Last NPPES UpdateFebruary 27, 2024
NPPES CertifiedSeptember 16, 2021
✔ NPI 1932879459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2325 DEAN STREET, St. Charles, IL 60175
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blue Lavender Clinical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Blue Lavender Clinical Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Shawn Nowotnik, LCSW
Clinical Social Worker
NPI 1740947373
100 ILLINOIS ST
St Charles, IL 60174
(331) 575-4858
✔ PECOS✔ Accepts Medicare1.6 mi
Karen Hammond, LCSW
Clinical Social Worker
NPI 1275032336
412 S 2ND ST
St Charles, IL 60174
(331) 575-4858
✔ PECOS1.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Blue Lavender Clinical Services LLC's NPI number?

The NPI number for Blue Lavender Clinical Services LLC is 1932879459. It was assigned to this organization in the NPPES registry on September 16, 2021.

Where is Blue Lavender Clinical Services LLC located?

Blue Lavender Clinical Services LLC is located at 2325 Dean Street Suite 500, St. Charles, IL 60175. The listed phone number is (630) 962-2761.

What is Blue Lavender Clinical Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Blue Lavender Clinical Services LLC enrolled in Medicare?

Yes. Blue Lavender Clinical Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Lavender Clinical Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Blue Lavender Clinical Services LLC. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blue Lavender Clinical Services LLC was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.