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MR. THOMAS M POTOSKI LCPC
NPI 1962795526
Counselor - Professional in Bourbonnais, IL

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment
4 DUNCAN DR SUITE C, BOURBONNAIS, IL 60914(815) 662-7757(815) 928-9335 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Thomas M Potoski Lcpc NPPES

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

MR. THOMAS M POTOSKI LCPC (NPI 1962795526) is an individual professional provider in Bourbonnais, Illinois, licensed in Illinois (180-001413) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1962795526
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. THOMAS M POTOSKICredential: LCPC
Location Address4 DUNCAN DR SUITE CBourbonnais, IL 60914-1083
Mailing AddressPo Box 870Bourbonnais, IL 60914-6870 · (815) 662-7757 · Fax (815) 928-9335
Phone(815) 662-7757
Fax(815) 928-9335
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateMay 16, 2011
Last NPPES UpdateOctober 5, 2012
✔ NPI 1962795526 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 · 180-001413
4 DUNCAN DR SUITE C, Bourbonnais, IL 60914
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Mr. Thomas M Potoski 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 ID8820532583
PECOS Enrollment IDI20240705000606
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 Thomas Potoski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitae Health Medical Illinois, PLLC
60 mi
Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
NPI 1174013452 (224) 777-8034

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
220 services13 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
50 services11 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

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 Thomas Potoski's NPI number?

The NPI number for Thomas Potoski is 1962795526. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Thomas Potoski located?

Thomas Potoski practices at 4 Duncan Dr Suite C, Bourbonnais, IL 60914. The listed phone number is (815) 662-7757.

What is Thomas Potoski's specialty?

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

Is Thomas Potoski enrolled in Medicare?

Yes. Thomas Potoski 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 Thomas Potoski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Potoski reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, 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 Thomas Potoski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Potoski accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Thomas Potoski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Potoski was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.