Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295486769 Individual Practitioner Female Practitioner

Leisel Iverson , ATC

Psychologist • Libertyville, IL

Professional Overview & Biography Verified Profile Summary

Leisel Iverson, ATC is a registered healthcare professional specializing in Psychologist in Libertyville, IL. Practice services are available at 1641 N. MILKWAUKEE AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1641 N. Milkwaukee Avenue
Adler Park Plaza, Suite 7

Libertyville, IL 60048

Telephone 8473626919
Associated Practice Facility / Clinic
🏢 The Family Stress Clinic Facility NPI 1669562559

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Libertyville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Libertyville, IL (1075 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-15
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

State License None 080502241

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Deanna Lulofs , PsyD

Psychologist - Clinical

NPI 1083789945

Doctor of Psychology (Psy.D.)

M Kathleen Perry , MA

Counselor - Mental Health

NPI 1104505536

Master of Arts

Allison Wollert , LPC

Counselor - Mental Health

NPI 1164994562

Licensed Professional Counselor

Stefanie Moss , LCPC

Counselor - Professional

NPI 1285865618

Licensed Clinical Professional Counselor

Ashley York , BS

Student in an Organized Health Care Education/Training Program

NPI 1639781107

Bachelor of Science

Itoro Udoeyop

Counselor - Mental Health

NPI 1720339641

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 15, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2022

Registered at 1641 N. MILKWAUKEE AVENUE, ADLER PARK PLAZA, SUITE 7, LIBERTYVILLE, IL 60048 (Tel: 8473626919)

📍
Updated Business Mailing Address January 15, 2022

Registered at 3025 N SEMINARY AVENUE, GDN, CHICAGO, IL 60657 (Tel: 2196824130)

👤
Provider Name / Credentials Updated January 15, 2022

Recorded as LEISEL IVERSON, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2022

Specialist/Technologist (License #080502241 in None)

🟢
Initial NPI Registration & Enumeration January 15, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295486769
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2022
Last Update: January 15, 2022
Sole Proprietor: Yes

Mailing Address

3025 N Seminary Avenue, Gdn

Chicago, IL 60657

Phone: 2196824130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.