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Renee Devore

Counselor β€’ Belleville, IL

Active NPI 1487105607 Individual Practitioner Female Practitioner
Practice location in NPPES

2900 Frank Scott Pkwy W Ste 990
Belleville, IL 622235000

Call 6182366501 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2900 Frank Scott Pkwy W Ste 990

Belleville, IL 622235000

Telephone 6182366501
Fax 6182366551
Organization at the Same NPPES Address or Phone
Pcs Mso, Llc Facility NPI 1932057189

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Belleville and Illinois

17 active clinicians are listed under Counselor with a practice address in Belleville, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Belleville

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-06
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
370915481007 (IL)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Jeffrey Chalfant , DO

Psychiatry & Neurology - Psychiatry

NPI 1811935166

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated September 06, 2023

Recorded as RENEE DEVORE

πŸ“
Updated Practice Location August 02, 2023

Registered at 2900 FRANK SCOTT PKWY W STE 990, BELLEVILLE, IL 622235000 (Tel: 6182366501)

βœ…
NPI Profile Active October 24, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 24, 2016

Registered at 904 E. MARTIN LUTHER KING DRIVE, CENTRALIA, IL 628013058 (Tel: 6185331391)

πŸ“
Business Mailing Address (Initial Record) October 24, 2016

Registered at 904 E. MARTIN LUTHER KING DRIVE, CENTRALIA, IL 628013058 (Tel: 6185331391)

πŸ‘€
Provider Name / Credentials (Initial Record) October 24, 2016

Recorded as RENEE PAHNKE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2016

Counselor

🟒
Initial NPI Registration & Enumeration October 24, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487105607
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2016
Last Update: September 06, 2023
Sole Proprietor: No

Mailing Address

904 E. Martin Luther King Drive

Centralia, IL 628013058

Phone: 6185331391

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.