MICHAEL SOUCIE — NPI 1902519432 (Licensed & Credentialed Counselor in CHANNAHON, IL)

CMS-1500 Box 24J / 33a • NPI

1902519432

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

101Y00000X

Licensed & Credentialed Counselor

Box 32 Service Location & ZIP+4

25259 S REED ST, CHANNAHON, IL, 60410-6003

✓ 9-Digit EDI 837 ZIP+4 (60410-6003)

Practice Phone & Referral Fax

(815) 467-0555

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902519432 (MICHAEL SOUCIE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1902519432` (NPI-1 Individual Practitioner)
Provider / Legal Name	MICHAEL SOUCIE
Plain-English Specialty	Licensed & Credentialed Counselor NUCC Code: `101Y00000X` (Counselor)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	25259 S REED ST, CHANNAHON, IL, 60410-6003
Practice Telephone / Fax	Tel: (815) 467-0555
Administrative Mailing Address	3301 DEER ST APT 1C, WOODRIDGE, IL, 60517-3246
Enumeration & Last Sync	Enumerated: 2022-12-29 \| CMS Record Updated: 2023-05-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

25259 S REED ST, CHANNAHON, IL, 60410-6003

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Plain-English Taxonomy & CMS Crosswalk (101Y00000X)

What Does Taxonomy Code 101Y00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101Y00000X translates to:
"Licensed & Credentialed Counselor"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MICHAEL SOUCIE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101Y00000X` — Counselor Plain English: Licensed & Credentialed Counselor	State: IL \| License: `Verified` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: IL \| License: `149025186` \| Primary: Secondary
`101Y00000X` — Counselor Plain English: Licensed & Credentialed Counselor	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MICHAEL SOUCIE (NPI #1902519432)