Individual provider Active NPI

Loren Phillip Hizel, PHD

  • Clinical Neuropsychologist
  • Libertyville, IL
National Provider Identifier
1801526561
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071010697 Issued in IL
Practice address
1800 Hollister Dr Ste G10
Libertyville, IL 60048-5264
Phone
(847) 786-5366
NPI assigned
Jun 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 071010697 IL Primary

Addresses

Primary practice location

1800 Hollister Dr Ste G10
Libertyville, IL 60048-5264

Mailing address

PO Box 2257
Chesterton, IN 46304-0357
Phone (219) 926-8320

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
I20230421001779 IL Practitioner - Clinical Psychologist 9436514635 Reassigns benefits to 1 organization
Practice locations: Elgin, IL; Lake Barrington, IL; Rolling Meadows, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Florida College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Cognition PLLCGroup PAC ID 5991227944, 2 clinicians

Practice addresses (Care Compare)

22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2542
Phone (847) 786-5366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071010697ILMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Cognition PLLC Clinical Neuropsychologist CurrentSince Apr 1, 2025 Accepting new patients
Self Improvement Through Awareness PC Clinical PastSince Jul 1, 2023 Accepting new patients

Locations

1710 N Randall Rd
Ste 250
Elgin, IL 60123
Phone (847) 786-5366

22285 N Pepper Rd
Ste 401
Lake Barrington, IL 60010
Phone (847) 882-6604

1800 Hollister Dr
Ste G10
Libertyville, IL 60048
Phone (847) 786-5366

1800 Hollister Dr
Ste G2
Libertyville, IL 60048
Phone (847) 680-8066

3701 Algonquin Rd
Ste 800
Rolling Meadows, IL 60008
Phone (847) 786-5366

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1801526561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040357",
            "telephone_number": "219-926-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR STE G10",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485264",
            "telephone_number": "847-786-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIZEL",
        "first_name": "LOREN",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071010697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.