Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. IVELISSE BURGO PSYD, LPC, NCC
NPI 1083169791
Psychologist - Clinical in Evanston, IL

Q: What is Ivelisse Burgo's NPI number?

The NPI number for Ivelisse Burgo is 1083169791. It was assigned to this individual provider in the NPPES registry on August 23, 2016. The provider is also known as Dr. Ivy Burgo Psyd, Lpc, Ncc.

Q: What is Ivelisse Burgo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Ivelisse Burgo was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 23, 2016PECOS Enrolled

828 DAVIS ST STE 213, EVANSTON, IL 60201(312) 781-2850(847) 972-6445 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 1, 2026, May 31, 2023, Sep 10, 2022 and 3 more (6 updates tracked since 2016).

On this page

About Dr. Ivelisse Burgo Psyd, Lpc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IVELISSE BURGO PSYD, LPC, NCC (NPI 1083169791) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (071-010821) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083169791

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. IVELISSE BURGOCredential: PSYD, LPC, NCC

Location Address828 DAVIS ST STE 213Evanston, IL 60201-4420

Mailing Address828 Davis St Ste 213Evanston, IL 60201-4420 · (312) 781-2850

Phone(312) 781-2850

Fax(847) 972-6445

Sole ProprietorNo

Enumeration DateAugust 23, 2016

Last NPPES UpdateOctober 1, 20266 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1083169791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071-010821

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

828 DAVIS ST STE 213, Evanston, IL 60201

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Other Names 1

Other Name (5)Dr. Ivy Burgo Psyd, Lpc, Ncc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ivelisse Burgo Psyd, Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOFIA NEWAZ LPC

Counselor (Professional)

828 DAVIS ST STE 213
EVANSTON, IL 60201

Cook County (312) 781-2850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivelisse Burgo's NPI number?

The NPI number for Ivelisse Burgo is 1083169791. It was assigned to this individual provider in the NPPES registry on August 23, 2016. The provider is also known as Dr. Ivy Burgo Psyd, Lpc, Ncc.

Where is Ivelisse Burgo located?

Ivelisse Burgo practices at 828 Davis St Ste 213, Evanston, IL 60201. The listed phone number is (312) 781-2850.

What is Ivelisse Burgo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ivelisse Burgo enrolled in Medicare?

Yes. Ivelisse Burgo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivelisse Burgo was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.