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John Deku , LCPC, NCC

Counselor - Professional β€’ St Charles, IL

Active NPI 1083004055 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1120 E Main St Ste 102
St Charles, IL 601742287

Call 6303776613 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

1120 E Main St Ste 102

St Charles, IL 601742287

Telephone 6303776613
Fax 6303776225
Organization at the Same NPPES Address or Phone
Centennial Counseling Center, Pc Facility NPI 1376544387

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

CMS Doctors and Clinicians lists 1 group name: Centennial Counseling Center, Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 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

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.

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

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)

John Deku 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 John Deku 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 St Charles and Illinois

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Charles

4.1% of these 74 clinicians have the CMS telehealth indicator.

23% of these 74 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: 2020-05-27
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180.011078
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

I20240123004242

Enrollment State Jurisdiction

IL

PECOS Control ID

1456703602

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Centennial Counseling Center, Pc

1120 E Main St, St Charles, IL 601742287

Phone: 6303776613

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
Dr. Michelle Bidwell , PsyD

Psychologist - Clinical

NPI 1629309877

Doctor of Psychology (Psy.D.)

Dr. Timothy Buhrt , PsyD

Psychologist - Clinical

NPI 1063408250

Doctor of Psychology (Psy.D.)

Patrick Morrison , LCSW

Social Worker - Clinical

NPI 1366537334

Licensed Clinical Social Worker

Steven Smith , LCSW

Social Worker - Clinical

NPI 1740717834

Licensed Clinical Social Worker

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location May 27, 2020

Registered at 1120 E MAIN ST STE 102, ST CHARLES, IL 601742287 (Tel: 6303776613)

πŸ“
Updated Business Mailing Address July 01, 2019

Registered at 1120 E MAIN ST STE 102, ST CHARLES, IL 601742287 (Tel: 6303776613)

πŸ‘€
Provider Name / Credentials Updated July 01, 2019

Recorded as JOHN DEKU, LCPC, NCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Counselor (license number reported to NPPES: IL 180.011078)

βœ…
NPI Profile Active January 29, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 29, 2015

Registered at 12 HEALTH SERVICES DR, DEKALB, IL 601159637 (Tel: 8157564875)

πŸ“
Business Mailing Address (Initial Record) January 29, 2015

Registered at 540 EDGEMONT LN, HOFFMAN ESTATES, IL 601694839 (Tel: 2244894525)

πŸ‘€
Provider Name / Credentials (Initial Record) January 29, 2015

Recorded as JOHN DEKU, LPC, NCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2015

Counselor (license number reported to NPPES: IL 331033)

🟒
Initial NPI Registration & Enumeration January 29, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083004055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2015
Last Update: May 27, 2020
Sole Proprietor: No

Mailing Address

1120 E Main St Ste 102

St Charles, IL 601742287

Phone: 6303776613

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.