DONALD MITCKESS LCPC
NPI 1508479866
Counselor - Professional in Libertyville, IL

Active since August 26, 2020PECOS Enrolled
816 INTERLAKEN LN, LIBERTYVILLE, IL 60048(630) 441-6837 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2025, Aug 26, 2020 (2 updates tracked since 2020).

About Donald Mitckess Lcpc NPPES

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

DONALD MITCKESS LCPC (NPI 1508479866) is an individual professional provider in Libertyville, Illinois, licensed in Illinois (180005676) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bolingbrook.

NPPES Registry Identity

NPI1508479866
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDONALD MITCKESSCredential: LCPC
Location Address816 INTERLAKEN LNLibertyville, IL 60048-3801
Mailing Address816 Interlaken LnLibertyville, IL 60048-3801 · (630) 441-6837
Sole ProprietorYes
Enumeration DateAugust 26, 2020
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
NPI 1508479866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180005676
816 INTERLAKEN LN, Libertyville, IL 60048

Secondary Practice Location 1

Location 1672 Londonberry LnBolingbrook, IL 60440-1017 · Phone (630) 441-6837

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Donald Mitckess Lcpc 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.

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 Donald Mitckess's NPI number?

The NPI number for Donald Mitckess is 1508479866. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Donald Mitckess located?

Donald Mitckess practices at 816 Interlaken Ln, Libertyville, IL 60048. The listed phone number is (630) 441-6837.

What is Donald Mitckess's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Donald Mitckess enrolled in Medicare?

Yes. Donald Mitckess is registered in the Medicare PECOS enrollment system.

What insurance does Donald Mitckess accept?

Health plans from Providence Health Plan and Quartz list Donald Mitckess as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Mitckess was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.