Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699339978 Individual Practitioner Female Practitioner

Autumn Ashley Dekoster , LCPC, LMHP, CAADC

Counselor - Professional • Moline, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Autumn Dekoster, LCPC, LMHP, CAADC is a certified Counselor - Professional practicing in Moline, IL. With approximately 7 years of clinical experience since completing medical education in 2019, Autumn Dekoster delivers high-quality medical care to the local community at 1465 41ST ST STE 6.

Autumn Dekoster is affiliated with Pulse Counseling And Wellness Center Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1465 41st St Ste 6

Moline, IL 612652579

Telephone 3092328669
Fax 3093264521
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Moline, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -10.1 yrs vs City Avg
City Avg: 17.1 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
32 Specialists

Practicing in Moline, IL (9683 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dekoster (7 Years) 7 Yrs
Moline Specialty Average (17.1 Years) 17.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.013574

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License IL 36433

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License IA 108785

Definition to come...

Hospital & Practice Group Affiliations

Pulse Counseling And Wellness Center Pllc

1465 41st St, Moline, IL 612652579

Phone: 3092328669

Secondary Practice Locations

4101 John Deere Rd

Moline, IL 612659951

Phone: 3097625433

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Alesia Juarez , LPC

Counselor - Professional

NPI 1205672599

Licensed Professional Counselor

Miryam Hunter , LMSW

Social Worker - Clinical

NPI 1255078028

Licensed Master Social Worker

NPI 1255710950

Master of Social Work, Licensed Clinical Social Worker, Licensed Independent Social Worker

NPI 1821207986

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location September 01, 2025

Registered at 1465 41ST ST STE 6, MOLINE, IL 612652579 (Tel: 3092328669)

📍
Updated Business Mailing Address September 01, 2025

Registered at 1465 41ST ST STE 6, MOLINE, IL 612652579 (Tel: 3092328669)

👤
Provider Name / Credentials Updated September 01, 2025

Recorded as AUTUMN DEKOSTER, LCPC, LMHP, CAADC

📍
Updated Practice Location June 27, 2024

Registered at 4101 JOHN DEERE RD, MOLINE, IL 612659951 (Tel: 3097625433)

👤
Provider Name / Credentials Updated March 30, 2023

Recorded as AUTUMN GONZALEZ, LCPC, LMHP, CAADC

📍
Updated Practice Location February 18, 2022

Registered at 1701 RIVER DR STE 110, MOLINE, IL 612651384 (Tel: 0976254333)

📍
Updated Business Mailing Address February 18, 2022

Registered at 1701 RIVER DR STE 110, MOLINE, IL 612651384 (Tel: 3097625433)

👤
Provider Name / Credentials Updated June 23, 2021

Recorded as AUTUMN GONZALEZ, LCPC, LMHP, CADC

👤
Provider Name / Credentials Updated June 07, 2021

Recorded as AUTUMN GONZALEZ, LCPC, CADC, NCC

👤
Provider Name / Credentials Updated November 09, 2020

Recorded as AUTUMN GONZALEZ, NCC, LPC

NPI Profile Active April 23, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2019

Registered at 2701 17TH ST, ROCK ISLAND, IL 612015351 (Tel: 3097792031)

📍
Updated Business Mailing Address April 23, 2019

Registered at 2701 17TH ST, ROCK ISLAND, IL 612015351 (Tel: 3097792031)

👤
Provider Name / Credentials Updated April 23, 2019

Recorded as AUTUMN DEKOSTER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2019

Counselor

🟢
Initial NPI Registration & Enumeration April 23, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699339978
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2019
Last Update: September 01, 2025
Sole Proprietor: No

Mailing Address

1465 41st St Ste 6

Moline, IL 612652579

Phone: 3092328669

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.