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SKYLAR MAYA WITTENBERG LCPC
NPI 1093488587
Counselor - Mental Health in Chicago, IL

Active since July 29, 2021PECOS Enrolled
680 N LAKE SHORE DR STE 110-1113, CHICAGO, IL 60611(872) 205-0456 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Skylar Maya Wittenberg Lcpc NPPES

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

SKYLAR MAYA WITTENBERG LCPC (NPI 1093488587) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093488587
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSKYLAR MAYA WITTENBERGCredential: LCPC
Location Address680 N LAKE SHORE DR STE 110-1113Chicago, IL 60611-4546
Mailing Address426 W Surf St Apt 416Chicago, IL 60657-6131 · (216) 832-7411
Phone(872) 205-0456
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 29, 2021
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1093488587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
680 N LAKE SHORE DR STE 110-1113, Chicago, IL 60611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skylar Maya Wittenberg Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385114453
PECOS Enrollment IDI20260529001617
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.

Other Providers at the Same Location NPPES 4

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

WELLSPIRE COUNSELING PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
680 N LAKE SHORE DR STE 110-1113
CHICAGO, IL 60611
Cook County (872) 205-0456
MENTELLA OF WISCONSIN SC
Clinic/Center (Mental Health (Including Community Mental Health Center))
680 N LAKE SHORE DR STE 110-1113
CHICAGO, IL 60611
Cook County (872) 205-0456
MENTELLA OF INDIANA LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
680 N LAKE SHORE DR STE 110-1113
CHICAGO, IL 60611
Cook County (872) 205-0456
MENTELLA OF MICHIGAN PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
680 N LAKE SHORE DR STE 110-1113
CHICAGO, IL 60611
Cook County (872) 205-0456

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 Skylar Wittenberg's NPI number?

The NPI number for Skylar Wittenberg is 1093488587. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Skylar Wittenberg located?

Skylar Wittenberg practices at 680 N Lake Shore Dr Ste 110-1113, Chicago, IL 60611. The listed phone number is (872) 205-0456.

What is Skylar Wittenberg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Skylar Wittenberg enrolled in Medicare?

Yes. Skylar Wittenberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Skylar Wittenberg was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.