Individual provider Active NPI

Keith Levasseur, LCPC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1811905995
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-001646 Issued in IL
Practice address
1300 Iroquois Ave Ste 145
Naperville, IL 60563-1389
Phone
(630) 305-0464
Fax
(630) 305-0211
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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 180-001646 IL Primary

Addresses

Primary practice location

1300 Iroquois Ave Ste 145
Naperville, IL 60563-1389

Mailing address

1300 Iroquois Ave Ste 145
Naperville, IL 60563-1389
Phone (630) 305-0464

Other identifiers 1

IdentifierTypeStateIssuer
02232926OtherILBCBS PROVIDER #

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
I20240327003454 IL Practitioner - Mental Health Counselor 0941647846 Reassigns benefits to 1 organization
Practice locations: Naperville, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Counseling and Coaching of Illinois LLCGroup PAC ID 5496093213, 19 clinicians

Practice addresses (Care Compare)

1425 Essington Rd
Joliet, IL 60435-2873
Phone (815) 467-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-001646ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Beth McLaughlin,LTD CurrentSince Mar 1, 2024 Accepting new patients
Alliance Counseling & Coaching of Illinois, LLC Professional CurrentSince Apr 3, 2024 Accepting new patients

Locations

25224 W Eames St
Ste D
Channahon, IL 60410
Phone (815) 467-8181

25224 W Eames St
Channahon, IL 60410
Phone (815) 467-8181

1425 Essington Rd
Joliet, IL 60435
Phone (773) 510-5122

1300 Iroquois Ave
Ste 145
Naperville, IL 60563
Phone (630) 305-0464

1831 Bay Scott Cir
Ste 105
Naperville, IL 60540
Phone (630) 305-0464

1280 Iroquois Ave
Ste 102
Naperville, IL 60563
Phone (630) 305-0464

5700 Caton Farm Rd
Plainfield, IL 60586
Phone (630) 945-6724

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1811905995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 IROQUOIS AVE STE 145",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631389",
            "telephone_number": "630-305-0464",
            "fax_number": "630-305-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 IROQUOIS AVE STE 145",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631389",
            "telephone_number": "630-305-0464",
            "fax_number": "630-305-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVASSEUR",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-001646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "02232926",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.