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MS. MARY CLARE CUMMINS LCPC
NPI 1962595892
Counselor - Professional in Decatur, IL

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
1770 E LAKE SHORE DR, SUITE 209, DECATUR, IL 62521(217) 423-6500(217) 423-6536 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Mary Clare Cummins Lcpc NPPES

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

MS. MARY CLARE CUMMINS LCPC (NPI 1962595892) is an individual professional provider in Decatur, Illinois and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1962595892
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. MARY CLARE CUMMINSCredential: LCPC
Location Address1770 E LAKE SHORE DR, SUITE 209Decatur, IL 62521-3832
Mailing Address1770 E Lake Shore Dr, Suite 209Decatur, IL 62521-3832 · (217) 423-6500 · Fax (217) 423-6536
Phone(217) 423-6500
Fax(217) 423-6536
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962595892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1770 E LAKE SHORE DR, Decatur, IL 62521
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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

Ms. Mary Clare Cummins Lcpc 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 ID8022535566
PECOS Enrollment IDI20250507003366
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 Mary Cummins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rohidas T Patil MD Sc
Same address
Psychiatry
1770 E LAKE SHORE DR, SUITE 209
Decatur, IL 62521
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1316110893 (217) 423-6500

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.

ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Urology
1770 E LAKE SHORE DR, SUITE 202
DECATUR, IL 62521
Macon County (217) 464-2505
DR. AHMAD H AHMAD M.D.
Internal Medicine
1770 E LAKE SHORE DR, SUITE 201
DECATUR, IL 62521
Macon County (217) 428-7921
LAUREL A WALTON DO SC
Obstetrics & Gynecology
1770 E LAKE SHORE DR, STE 309
DECATUR, IL 62521
Macon County (217) 422-9740
DEBRA G. CHARVERON LCPC
Counselor (Professional)
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 429-9700
AZHAR ASLAM MD LLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1770 E LAKE SHORE DR, SUITE 103
DECATUR, IL 62521
Macon County (217) 422-9036
MS. KAREN L HAMMOND MSW LCSW
Social Worker (Clinical)
1770 E LAKE SHORE DR, SUITE 209
DACATUR, IL 62521
Macon County (217) 428-0600
DECATUR PEDIATRIC CLINIC
Pediatrics
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 423-8800
DECATUR HEALTHCARE LLC
Clinic/Center (Ambulatory Surgical)
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 424-1021

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 Mary Cummins's NPI number?

The NPI number for Mary Cummins is 1962595892. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Mary Cummins located?

Mary Cummins practices at 1770 E Lake Shore Dr Suite 209, Decatur, IL 62521. The listed phone number is (217) 423-6500.

What is Mary Cummins's specialty?

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

Is Mary Cummins enrolled in Medicare?

Yes. Mary Cummins 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 Mary Cummins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Cummins reassigns Medicare benefits to Rohidas T Patil MD Sc (Decatur, 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 Mary Cummins'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 Mary Cummins 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.