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Samuel Bobbio Bagyo , LPC

Counselor - Professional β€’ Springfield, IL

Active NPI 1992463210 Individual Practitioner Male Practitioner
Practice location in NPPES

901 N 1st St Ste 225
Springfield, IL 627023760

Call 2177884065 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

901 N 1st St Ste 225

Springfield, IL 627023760

Telephone 2177884065
Fax 2177884147
Organization at the Same NPPES Address or Phone
Mental Health Centers Of Central Illinois Facility NPI 1750614798

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

NPI first issued

2021

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 Springfield and Illinois

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

3.8% of these 186 clinicians have the CMS telehealth indicator.

15.1% of these 186 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: 2024-08-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 178.019860
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

Clinicians Sharing This Practice Address or Phone

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

4 listed
Julie Blythe , RN, MSW, LCSW, CCTP

Social Worker - Clinical

NPI 1700438678

Registered Nurse, Master of Social Work, Licensed Clinical Social Worker, CCTP

Caitlin Deady

Social Worker - Clinical

NPI 1396158846
Jesse Gutierrez

Social Worker - Clinical

NPI 1891282760
Lizabeth Stratton , LCSW

Social Worker - Clinical

NPI 1518926708

Licensed Clinical Social Worker

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location August 28, 2024

Registered at 901 N 1ST ST STE 225, SPRINGFIELD, IL 627023760 (Tel: 2177884065)

πŸ“
Updated Business Mailing Address August 28, 2024

Registered at 901 N 1ST ST STE 225, SPRINGFIELD, IL 627023760 (Tel: 2177884065)

πŸ‘€
Provider Name / Credentials Updated August 28, 2024

Recorded as SAMUEL BAGYO, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2024

Counselor (license number reported to NPPES: IL 178.019860)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2022

Counselor

βœ…
NPI Profile Active December 03, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 03, 2021

Registered at 1845 GRANDSTAND PL, ELGIN, IL 601236603 (Tel: 8476950484)

πŸ“
Business Mailing Address (Initial Record) December 03, 2021

Registered at 25949 N ARROWHEAD DR, MUNDELEIN, IL 600604063 (Tel: 2247155927)

πŸ‘€
Provider Name / Credentials (Initial Record) December 03, 2021

Recorded as SAMUEL JR BAGYO, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration December 03, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992463210
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2021
Last Update: August 28, 2024
Sole Proprietor: No

Mailing Address

901 N 1st St Ste 225

Springfield, IL 627023760

Phone: 2177884065

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.