Abigail Mitchell LCPC LLC | NPI 1649037987

Key facts

NPI: 1649037987
Entity type: Organization (NPI type 2)
Primary specialty: Community Health Clinic/Center 261QC1500X
Legal business name: ABIGAIL MITCHELL LCPC LLC
Practice address: 1900 Ogden Ave Ste 106
Aurora, IL 60504-4284
Phone: (815) 370-5212
Fax: (630) 256-8009
NPI assigned: Mar 4, 2024
Organization subpart: No

Authorized official

Name: Abigail L Mitchell-Lockwood, LCPC NPI 1619273711
Title: Licensed Counselor
Phone: (815) 370-5212

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Abigail L Mitchell'Lockwood, LPCC Mental Health Counselor · Alamogordo, NM · NPI 1619273711

Medicare reassignment NPD Authorized official IL

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20251028001387	IL	Part B Supplier - Clinic/Group Practice	5395234686	Receives reassigned benefits from 1 practitioner Practice locations: Aurora, IL

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community Health Clinic/Center	261QC1500X			Yes

Addresses

Primary practice location

1900 Ogden Ave Ste 106
Aurora, IL 60504-4284

Mailing address

461 Breckenridge Dr
Aurora, IL 60504-5265
Phone (815) 370-5212

Other providers in Aurora, IL

All providers in Aurora, IL · Community Health Clinic/Center in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.