Individual provider Active NPI

Elizabeth Mabbott, LPC

  • Mental Health Counselor
  • Matteson, IL
National Provider Identifier
1902494362
Registry record updated Jan 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3624 216TH St
Matteson, IL 60443-2713
Phone
(708) 481-4086
NPI assigned
Jan 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178016315 IL
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3624 216TH St
Matteson, IL 60443-2713

Mailing address

10229 Kirkstone Way Unit a
Mokena, IL 60448-7927
Phone (708) 625-2831

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
I20250605003899 IL Practitioner - Mental Health Counselor 0749790111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19630 Governors Hwy
Suite 1
Flossmoor, IL 60422-2079
Phone (708) 481-4086

3624 216TH St
Matteson, IL 60443-2713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178016315ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Mindfulness and Psychotherapy Inc CurrentSince Mar 13, 2025 Accepting new patients

Locations

3624 216th St
#A
Matteson, IL 60443

3624 216th St
Matteson, IL 60443
Phone (708) 481-4080

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.

NPI Registry JSON

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1902494362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10229 KIRKSTONE WAY UNIT A",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604487927",
            "telephone_number": "708-625-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 216TH ST",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432713",
            "telephone_number": "708-481-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABBOTT",
        "first_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178016315",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

Verify at the official NPI Registry.