Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Backus, MA, LCPC

Individual provider Professional Counselor · NPI 1871782805

Kathleen Backus, MA, LCPC is a Mental Health Counselor in Bloomington, Illinois. Qualified in 1998, 28 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
28
Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

808 S Eldorado Rd Ste 102
Bloomington, IL 61704-6075
Phone: (309) 212-6007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2203 E Washington St, Bloomington, IL 61701-4322 — (309) 663-0781

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180004305 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 180004305 (IL)

Record details

NPI number1871782805
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LCPC
Sole proprietorYes
NPI enumeratedOctober 16, 2007
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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