Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tracy R Mckenney , LCPC

Counselor - Professional β€’ Kankakee, IL

Active NPI 1962068577 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

187 S Indiana Ave Ste 307
Kankakee, IL 609013645

Call 8154081262 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

187 S Indiana Ave Ste 307

Kankakee, IL 609013645

Telephone 8154081262
Organization at the Same NPPES Address or Phone
Sophron Counseling Services, Pllc Facility NPI 1477389716

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Tracy Mckenney 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 Tracy Mckenney 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 Kankakee and Illinois

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

Addresses are self-reported to NPPES and may be out of date.

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: 2024-01-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180015161
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES IL 36495
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

I20241030001817

Enrollment State Jurisdiction

IL

PECOS Control ID

1254864192

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.

Career & Practice History Timeline

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

11 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2024

Counselor (license number reported to NPPES: IL 36495)

πŸ“
Updated Practice Location May 08, 2023

Registered at 187 S INDIANA AVE STE 307, KANKAKEE, IL 609013645 (Tel: 8154081262)

πŸ“
Updated Business Mailing Address May 08, 2023

Registered at 187 S INDIANA AVE STE 307, KANKAKEE, IL 609013645 (Tel: 8154081262)

πŸ‘€
Provider Name / Credentials Updated May 08, 2023

Recorded as TRACY MCKENNEY, LCPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2023

Counselor (license number reported to NPPES: IL 180015161)

βœ…
NPI Profile Active May 20, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 20, 2019

Registered at 323 W MULBERRY ST, WATSEKA, IL 609701568 (Tel: 8154325241)

πŸ“
Business Mailing Address (Initial Record) May 20, 2019

Registered at PO BOX 322, WATSEKA, IL 609700322

πŸ‘€
Provider Name / Credentials (Initial Record) May 20, 2019

Recorded as TRACY MCKENNEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2019

Counselor

🟒
Initial NPI Registration & Enumeration May 20, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1962068577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2019
Last Update: January 09, 2024
Sole Proprietor: Yes

Mailing Address

187 S Indiana Ave Ste 307

Kankakee, IL 609013645

Phone: 8154081262

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.