Individual provider Active NPI

Dawn Renee Levitan, MS., ED.D., LCPC

  • Cognitive & Behavioral Psychologist
  • Crystal Lake, IL
National Provider Identifier
1013091750
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Practice address
405 E Congress Pkwy
Suite C
Crystal Lake, IL 60014-6266
Phone
(815) 342-3726
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X IL Primary

Addresses

Primary practice location

405 E Congress Pkwy
Suite C
Crystal Lake, IL 60014-6266

Mailing address

3517 Braberry LN
Crystal Lake, IL 60012-2079
Phone (815) 342-3726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214002867 IL Practitioner - Mental Health Counselor 6709220007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mathers Clinic LLCGroup PAC ID 7214111582, 21 clinicians

Practice addresses (Care Compare)

145 S Virginia St
Crystal Lake, IL 60014-7226
Phone (815) 444-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180-002665ILMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mathers Clinic LLC Current Accepting new patients
The Mathers Clinic LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

145 S Virginia St
Crystal Lake, IL 60014
Phone (815) 397-7654

145 S Virginia St
Ste C
Crystal Lake, IL 60014
Phone (815) 363-6055

1650 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (800) 432-5005

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013091750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 BRABERRY LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122079",
            "telephone_number": "815-342-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E CONGRESS PKWY",
            "address_2": "SUITE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146266",
            "telephone_number": "815-342-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITAN",
        "first_name": "DAWN",
        "middle_name": "RENEE",
        "credential": "MS., ED.D., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.