Donald Mitckess, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180005676 Issued in IL

Practice address

816 Interlaken LN
Libertyville, IL 60048-3801

Phone

(630) 441-6837

NPI assigned

Aug 26, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• TMS Clinical Services PLLC

  dba Relief TMS

  • Psychiatry Physician
  • Oak Brook, IL
  • NPI 1285273540
  NPD
• Relief Mental Health

  • Psychiatry Physician
  • Northbrook, IL
  • NPI 1023614187
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1508479866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 INTERLAKEN LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483801",
            "telephone_number": "630-441-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 INTERLAKEN LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483801",
            "telephone_number": "630-441-6837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "672 Londonberry Ln",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604401017",
            "country_code": "US",
            "telephone_number": "630-441-6837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCKESS",
        "first_name": "DONALD",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Aligned Inc
• Mindfulrootshealingcenter
• Jawa Mineh Verros
• Christine Mirretti, PHARM D.
• Porchia Mitchell
• Drew M Mjoen, M.A., LCPC
• MLM Homecare (Visiting Angels Libertyville)
• Mobile Therapy Center of America, LLC
• Modern Pain Management SC
• Ankit Modi, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.