Natalee Rose Mitrovich, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-004835 Issued in IL

Practice address

109 S Main St
Wauconda, IL 60084-1825

Phone

(224) 818-4432

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Natalee Serpico, Grcic Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Natalee R Mitrovich Inc

  • Professional Counselor
  • Wauconda, IL
  • NPI 1376255893
  NPD Authorized official
• Lawrence L. Kerns, M.D. & Associates

  • Mental Health Counselor
  • Barrington, IL
  • NPI 1740479955
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1073624243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841825",
            "telephone_number": "224-818-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841825",
            "telephone_number": "224-818-4432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 S Main St",
            "address_purpose": "LOCATION",
            "city": "Wauconda",
            "state": "IL",
            "postal_code": "600841825",
            "country_code": "US",
            "telephone_number": "224-818-4432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITROVICH",
        "first_name": "NATALEE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004835",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALEE",
            "last_name": "SERPICO, GRCIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corrie McMahon, FNP
• Medical Solutions, Inc.
• Yessenia Mejia, LCPC
• Kasey Diane Mills, PT
• Mauricio Junior Miranda, PA-C
• Jason Mitsdarffer, MS, CCC-SLP
• Patricia Miyake, PHD, RPH
• Jennifer Lynn Molini
• Megan Moran
• Sylvia S Moreno, FNP

• Professional Counselor in Wauconda, IL
• Providers in Wauconda, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.