Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992463210 Individual Practitioner Male Practitioner

Samuel Bobbio Bagyo , LPC

Counselor - Professional • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Samuel Bagyo, LPC is a registered healthcare professional specializing in Counselor - Professional in Springfield, IL. Practice services are available at 901 N 1ST ST STE 225 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

901 N 1st St Ste 225

Springfield, IL 627023760

Telephone 2177884065
Fax 2177884147
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
192 Specialists

Practicing in Springfield, IL (9683 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 178.019860

Definition to come...

Practice Associates & Co-Workers

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

30 Associated Practitioners
Jonathan Ponser , MA, LCPC, NCC

Counselor - Professional

NPI 1003045337

Master of Arts, Licensed Clinical Professional Counselor, National Certified Counselor

Diane Deleonardo , LCSW

Social Worker - Clinical

NPI 1023932027

Licensed Clinical Social Worker

Nora Bishop , LCPC

Counselor - Professional

NPI 1063058113

Licensed Clinical Professional Counselor

Lois Mcconomy , LCSW

Social Worker - Clinical

NPI 1063472835

Licensed Clinical Social Worker

Bradley Breneman , LCSW

Social Worker - Clinical

NPI 1073830063

Licensed Clinical Social Worker

Rebecca Shaw , LCSW

Social Worker - Clinical

NPI 1265491468

Licensed Clinical Social Worker

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 28, 2024

Registered at 901 N 1ST ST STE 225, SPRINGFIELD, IL 627023760 (Tel: 2177884065)

📍
Updated Business Mailing Address August 28, 2024

Registered at 901 N 1ST ST STE 225, SPRINGFIELD, IL 627023760 (Tel: 2177884065)

👤
Provider Name / Credentials Updated August 28, 2024

Recorded as SAMUEL BAGYO, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2024

Counselor (License #178.019860 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2022

Counselor

NPI Profile Active December 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2021

Registered at 1845 GRANDSTAND PL, ELGIN, IL 601236603 (Tel: 8476950484)

📍
Updated Business Mailing Address December 03, 2021

Registered at 25949 N ARROWHEAD DR, MUNDELEIN, IL 600604063 (Tel: 2247155927)

👤
Provider Name / Credentials Updated December 03, 2021

Recorded as SAMUEL JR BAGYO, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 03, 2021

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: 1992463210
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2021
Last Update: August 28, 2024
Sole Proprietor: No

Mailing Address

901 N 1st St Ste 225

Springfield, IL 627023760

Phone: 2177884065

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.