Phetsavanh Coggin, LCPC
NPI 1336537745ActiveIndividual· Counselor, Mental Health· Woodstock, IL
Counselor, Mental Health (LCPC) in Woodstock, Illinois, licensed in IL, with an NPI issued in January 2015. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1336537745 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC |
| Sole proprietor | No |
| NPI issued | Jan 7, 2015 |
| Last updated in NPPES | Oct 13, 2020 |
| Certified by provider | Oct 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 180010325 | IL |
| Counselor, School | 101YS0200X | 1001080 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (IL) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
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