David Peter Bronsveld
Individual provider Active NPI Professional Counselor · Lake Bluff, IL
NPI 1992433189 · NPPES record last updated Oct 13, 2025
Key facts
- NPI
- 1992433189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.018259 (IL)
- Practice address
- 100 N Waukegan Rd Ste 204
Lake Bluff, IL 60044-1660 - Phone
- (312) 298-9562
- NPI assigned
- Aug 15, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- White Stone Partners LLC
Practice addresses (Care Compare)
100 N Waukegan Rd
Suite 204
Lake Bluff, IL 60044-1660
Phone (847) 461-9162
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250925004820 | IL | Practitioner - Mental Health Counselor | 5698270007 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.018259 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Stone Partners LLC | Professional | Current |
Accepting new patients |
Locations
34121 N US Highway 45
Ste 221
Grayslake, IL 60030
Phone (847) 461-9162
100 N Waukegan Rd
Ste 204
Lake Bluff, IL 60044
Phone (224) 252-4951
550 W Frontage Rd
Ste 3825
Northfield, IL 60093
Phone (847) 461-9162
675 N North Ct
Ste 215
Palatine, IL 60067
Phone (847) 461-9162
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.018259 | IL | Yes |
Addresses
Primary practice location
100 N Waukegan Rd Ste 204
Lake Bluff, IL 60044-1660
Mailing address
100 N Waukegan Rd Ste 204
Lake Bluff, IL 60044-1660
Phone (312) 298-9562
Other providers in Lake Bluff, IL
- John Bjorn Boquist
- Katherine Born
- Michelle Bracamontes
- Ryanne R Bright
- Mackenzie L Brindley
- Rachell Buhler
- Anita Bukszar
- Kathleen Marie Burke
- Timothy Burks
- Colin Burroughs
All providers in Lake Bluff, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.