Phetsavanh Coggin, LCPC
NPI 1336537745 · Mental Health Counselor · Woodstock, IL
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1336537745
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- License
- 180010325 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 10400 Haligus RdHuntley, IL 60142-9553Phone: (815) 338-6600Fax: (815) 206-5376
- 4201 W Medical Center DrMchenry, IL 60050-8409Phone: (815) 338-6600Fax: (815) 206-5376
Registry dates
- Enumerated
- 2015-01-07
- Last updated
- 2020-10-13
- Certified
- 2020-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.