Dennis A Lubchenko, LCPC, CADC, PCGC

Individual provider Active NPI Mental Health Counselor · Deerfield, IL

NPI 1760655955 · NPPES record last updated Oct 26, 2016

Key facts

NPI
1760655955
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1020 Milwaukee Ave
Suite 235
Deerfield, IL 60015-3513
Phone
(847) 436-6967
Fax
(847) 787-5249
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Attention to Wellness, LTD (3 clinicians)

Practice addresses (Care Compare)

1020 Milwaukee Ave
Suite 235
Deerfield, IL 60015-3555
Phone (847) 436-6967

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240301000046 IL Practitioner - Mental Health Counselor 2668725706 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Attention to Wellness, PLLC Current
since Oct 16, 2012
Accepting new patients

Locations

1020 Milwaukee Ave
Ste 235
Deerfield, IL 60015
Phone (847) 436-6967

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1020 Milwaukee Ave
Suite 235
Deerfield, IL 60015-3513

Mailing address

1020 Milwaukee Ave
Suite 235
Deerfield, IL 60015-3513
Phone (847) 436-6967

Other providers in Deerfield, IL

All providers in Deerfield, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.