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Robert Wolter

Counselor - Professional β€’ Bloomington, IL

Active NPI 1053796367 Individual Practitioner Male Practitioner
Practice location in NPPES

108 W Market St
Bloomington, IL 61701

Call 3098275351 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

108 W Market St

Bloomington, IL 61701

Telephone 3098275351
Organization at the Same NPPES Address or Phone
Mclean County Center For Human Services, Inc Facility NPI 1245233493

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Pekin, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

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

Enrolled in Medicare (PECOS)

Robert Wolter has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Robert Wolter as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bloomington and Illinois

107 active clinicians are listed under Counselor - Professional with a practice address in Bloomington, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

2.8% of these 107 clinicians have the CMS telehealth indicator.

8.4% of these 107 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180011419
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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240719003156

Enrollment State Jurisdiction

IL

PECOS Control ID

4981042363

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

3248 Vandever Ave

Pekin, IL 615546257

Phone: 3093475579

Clinicians Sharing This Practice Address or Phone

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

6 listed
Dr. Gil Abelita , MD

Psychiatry & Neurology - Psychiatry

NPI 1619986551

Doctor of Medicine (M.D.)

Julie Brown

Counselor - Mental Health

NPI 1659482099
Bettina Ervin-Rodgers

Nurse Practitioner - Psychiatric/Mental Health

NPI 1922583285
Jody Ideran

Counselor - Mental Health

NPI 1174619043
NPI 1497107296

Advanced Practice Nurse

Myranda Whitman

Nurse Practitioner - Psychiatric/Mental Health

NPI 1841600608

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location July 27, 2018

Registered at 108 W MARKET ST, BLOOMINGTON, IL 61701 (Tel: 3098275351)

πŸ“
Updated Business Mailing Address July 27, 2018

Registered at 108 W MARKET ST, BLOOMINGTON, IL 617013918

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2018

Counselor (license number reported to NPPES: IL 180011419)

βœ…
NPI Profile Active July 28, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 28, 2015

Registered at 3248 VANDEVER AVE, PEKIN, IL 615546257 (Tel: 3093475579)

πŸ“
Business Mailing Address (Initial Record) July 28, 2015

Registered at 3248 VANDEVER AVE, PEKIN, IL 615546257

πŸ‘€
Provider Name / Credentials (Initial Record) July 28, 2015

Recorded as ROBERT WOLTER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2015

Counselor

🟒
Initial NPI Registration & Enumeration July 28, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053796367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2015
Last Update: July 27, 2018
Sole Proprietor: No

Mailing Address

108 W Market St

Bloomington, IL 617013918

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.