Active NPI
Robert Disselhorst, LSW
- Counselor
- Crystal Lake, IL
National Provider Identifier
1982530580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 150.117981
- Practice address
- 3807 Lindsay LN
Crystal Lake, IL 60014-4783 - Phone
- (847) 226-1799
- NPI assigned
- Jun 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 150.117981 | IL | Primary |
Addresses
Primary practice location
3807 Lindsay LN
Crystal Lake, IL 60014-4783
Mailing address
3807 Lindsay LN
Crystal Lake, IL 60014-4783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1982530580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3807 LINDSAY LN",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600144783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3807 LINDSAY LN",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600144783",
"telephone_number": "847-226-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISSELHORST",
"first_name": "ROBERT",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "150.117981",
"primary": true
}
],
"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 Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.