Individual provider Active NPI

Adam Joseph Rietveld, M.A., LCPC

  • Professional Counselor
  • Crystal Lake, IL
National Provider Identifier
1861836405
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.009477 Issued in IL
Practice address
380 N Terra Cotta Rd Ste E
Crystal Lake, IL 60012-1809
Phone
(630) 267-9144
NPI assigned
Apr 25, 2013
Sex
Male
Sole proprietor
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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.009477 IL
Mental Health Counselor 101YM0800X 100747 IA
Professional Counselor 101YP2500X 180.009477 IL Primary
Mental Health Counselor 101YM0800X 178.008280 IL
Professional Counselor 101YP2500X 7734-125 WI

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 (630) 267-9144

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
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
I20250424001481 IL Practitioner - Mental Health Counselor 8729504501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.008280ILMDMental Health Counselor
180.009477ILMDProfessional Counselor
7734-125WIMDProfessional Counselor
100747IAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rietveld & Associates Counseling, P.C. Mental Health CurrentSince Feb 6, 2025 Accepting new patients
Michael L Klestinki Acsw & Associates P.C. Past Accepting new patients

Locations

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

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

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

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": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1861836405",
    "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": "630-267-9144"
        },
        {
            "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": "630-267-9144"
        }
    ],
    "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": {
        "last_name": "RIETVELD",
        "first_name": "ADAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.A., LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009477",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "100747",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009477",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.008280",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7734-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.