MADELINE GARRETT LPC
NPI 1568932317
Counselor - Professional in Frankfort, IL

NPI Status: Active since December 04, 2018

Contact Information

10201 W LINCOLN HWY
FRANKFORT, IL
ZIP 60423
Phone: (815) 432-5241

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  • Individual
  • Female
  • Years of Experience 9
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MADELINE GARRETT

This page provides the complete NPI Profile along with additional information for Madeline Garrett, a provider established in Frankfort, Illinois with a medical specialization in Counselor, focusing in professional and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1568932317 assigned on December 2018. The practitioner's primary taxonomy code is 101YP2500X with license number 1568932317 (IL). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1568932317
Provider Name
MADELINE GARRETT LPC
Gender
Female
Entity Type
Individual
Location Address
10201 W LINCOLN HWY FRANKFORT, IL 60423
Location Phone
(815) 432-5241
Mailing Address
10201 W LINCOLN HWY FRANKFORT, IL 60423
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
12-04-2018
Last Update Date
03-24-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
1568932317
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
  • Bronze Classic Standard (Choice) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Gold Classic Standard (Choice) - HMO
  • Gold Classic Standard (Select) - HMO
  • Secure (Choice) - HMO
  • Silver Classic Standard (Choice) - HMO
  • Silver Classic Standard (Select) - HMO
  • Silver Elite Saver Plus Rx Copay (Select) - HMO
  • Silver Simple Diabetes (Choice) - HMO
  • Silver Simple Diabetes (Select) - HMO
  • Silver Simple PCP Saver (Select) - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (Rx Copay, No Referrals) - HMO
  • UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus (No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Madeline Garrett is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Madeline Garrett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3678918125

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240223003674

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MADELINE GARRETT LPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568932317
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128183432
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 8 + 3 + 4 + 3 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1568932317 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255771879 DONNA MARIE PLATT LCPC
Individual
Counselor (Professional)10201 W LINCOLN HWY
FRANKFORT, IL 60423
(708) 269-1516
1467010777 MELISSA KACHIN LPC
Individual
Counselor (Mental Health)10201 W LINCOLN HWY
FRANKFORT, IL 60423
(708) 269-1516
1871966903MS. LAURA RAE VENDITTI M.A., LPC, LCPC
Individual
Counselor (Professional)10201 W LINCOLN HWY
FRANKFORT, IL 60423
(708) 469-4168
1437746351MS. BONNIE C. MARTIN LPC
Individual
Counselor (Professional)10201 W LINCOLN HWY
FRANKFORT, IL 60423
(708) 269-1516
1245803238 JENNIFER ARCHBOLD
Individual
Social Worker (Clinical)10201 W LINCOLN HWY
FRANKFORT, IL 60423
(708) 269-1516
1720797814KACHIN PROFESSIONAL COUNSELING
Organization
Counselor (Mental Health)10201 W LINCOLN HWY
FRANKFORT, IL 60423
(708) 269-1516
1720746035MR. CARL WAYNE KOERNER MSW, LSW
Individual
Social Worker10201 W LINCOLN HWY
FRANKFORT, IL 60423
(815) 272-1436

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568932317, enumerated in the NPI registry as an "individual" on December 04, 2018

The provider is located at 10201 W Lincoln Hwy Frankfort, Il 60423 and the phone number is (815) 432-5241

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider has more than 9 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Oscar. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on December 04, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.