Individual provider Active NPI

Mark Livshots, LCPC

  • Professional Counselor
  • Lake Bluff, IL
National Provider Identifier
1720844251
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.017910 Issued in IL
Practice address
900 North Shore Dr Ste 200
Lake Bluff, IL 60044-2225
Phone
(847) 238-2458
NPI assigned
Feb 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.017910 IL Primary

Addresses

Primary practice location

900 North Shore Dr Ste 200
Lake Bluff, IL 60044-2225

Mailing address

30 N Michigan Ave Ste 1126
Chicago, IL 60602-3737
Phone (312) 481-8181

Other practice location 1

30 N Michigan Ave Ste 1126
Chicago, IL 60602-3737
Phone (312) 481-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.017910ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1720844251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1126",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023737",
            "telephone_number": "312-481-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTH SHORE DR STE 200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442225",
            "telephone_number": "847-238-2458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Michigan Ave Ste 1126",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023737",
            "country_code": "US",
            "telephone_number": "312-481-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVSHOTS",
        "first_name": "MARK",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-22",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.017910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.