Individual provider Active NPI

Betsy Lohr, PHD

  • Clinical Psychologist
  • Woodstock, IL
National Provider Identifier
1619469947
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071011450 Issued in IL
Practice address
715 W Judd St
Woodstock, IL 60098-3186
Phone
(815) 444-9999
NPI assigned
Jun 1, 2018
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 071011450 IL Primary

Addresses

Primary practice location

715 W Judd St
Woodstock, IL 60098-3186

Mailing address

1420 Fairway Cir
Geneva, IL 60134-3177
Phone (847) 945-7801

Other practice location 1

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

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
I20250818002285 IL Practitioner - Clinical Psychologist 0244739100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mathers Clinic LLCGroup PAC ID 7214111582, 21 clinicians

Practice addresses (Care Compare)

715 W Judd St
Woodstock, IL 60098-3186
Phone (815) 444-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071011450ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mathers Clinic LLC CurrentSince Jul 18, 2025 Accepting new patients
The Mathers Clinic LLC CurrentSince Jul 18, 2025 Accepting new patients

Locations

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

715 W Judd St
Woodstock, IL 60098
Phone (815) 338-5940

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1619469947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 FAIRWAY CIR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343177",
            "telephone_number": "847-945-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W JUDD ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983186",
            "telephone_number": "815-444-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 S Virginia St",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147226",
            "country_code": "US",
            "telephone_number": "815-444-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOHR",
        "first_name": "BETSY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071011450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

Verify at the official NPI Registry.