Organization provider

DYNAMIC COUNSELING AND CONSULTATION SERVICES

Clinical Social Worker Medicare enrolled

DYNAMIC COUNSELING AND CONSULTATION SERVICES is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1457771677, based in Mount Vernon, IL. It is classified under Clinical Social Worker.

Getting there

The practice address on file is 4202 WILLIAMSON PL STE 1, Mount Vernon, IL 62864. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4202 WILLIAMSON PL STE 1, Mount Vernon, IL 62864 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2003032196 MO Clinical Social Worker primary

This provider holds licence 2003032196 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
6709186703
Enrollment ID
O20151124000258

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. NUCC Health Care Provider Taxonomy, code 1041C0700X
Behavioral Health & Social Service Providers Social Worker Clinical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1457771677 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateApr 27, 2014
Last updatedJan 27, 2025
StatusActive
Practice address 4202 WILLIAMSON PL STE 1
Mount Vernon, IL 62864
(618) 816-1224
Fax (800) 335-4761
Mailing address 1111 S LINCOLN AVE UNIT 1326
O Fallon, IL 62269
Other identifiers 497312108 · Medicaid (MO)
This record was updated on Jan 27, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1457771677 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 5 7 7 7 1 6 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 1 7 5 7 2 6 5

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1457771677?
NPI 1457771677 is the National Provider Identifier assigned to DYNAMIC COUNSELING AND CONSULTATION SERVICES in Mount Vernon, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of…
How do I contact DYNAMIC COUNSELING AND CONSULTATION SERVICES?
The phone number on file with NPPES is (618) 816-1224, last updated Jan 27, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does DYNAMIC COUNSELING AND CONSULTATION SERVICES accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1457771677 a valid number?
Yes. 1457771677 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.