Organization Active NPI

Rietveld & Associates Counseling, P.C.

  • Mental Health Counselor
  • Crystal Lake, IL
National Provider Identifier
1821446238
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RIETVELD & ASSOCIATES COUNSELING, P.C.
Practice address
380 N Terra Cotta Rd Ste E
Crystal Lake, IL 60012-1809
Phone
(815) 265-6561
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Mr. Adam Rietveld, M.A., LCPCNPI 1861836405
Title
President
Phone
(815) 265-6561

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

380 N Terra Cotta Rd Ste E
Crystal Lake, IL 60012-1809

Mailing address

380 N Terra Cotta Rd Ste E
Crystal Lake, IL 60012-1809
Phone (815) 265-6561

Other practice location 1

101 N Virginia St Ste 110
Crystal Lake, IL 60014-3454
Phone (815) 265-6561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250424001395 IL Part B Supplier - Clinic/Group Practice 7810413697 Receives reassigned benefits from 1 practitioner
Practice locations: Crystal Lake, IL

National Provider Directory

National Provider Directory

Locations

101 N Virginia St
Ste 240A
Crystal Lake, IL 60014

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1821446238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N TERRA COTTA RD STE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600121809",
            "telephone_number": "815-265-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N TERRA COTTA RD STE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600121809",
            "telephone_number": "815-265-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Virginia St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600143454",
            "country_code": "US",
            "telephone_number": "815-265-6561",
            "fax_number": "224-330-1928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIETVELD & ASSOCIATES COUNSELING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "RIETVELD",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-265-6561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.