LISA RADDATZ (LCPC) – Professional Counselor, NPI 1043570237

LISA RADDATZ (LCPC) is a healthcare provider. based in Grayslake, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180010384 (IL). The NPI Number for LISA RADDATZ (LCPC) is 1043570237

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
LISA RADDATZ (LCPC)
NPI
1043570237
Phone
(970) 571-1952
Address
214 SIWIHA DR
Enumeration Date
21 May 2012
Last Update Date
20 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8479130393
Graduation Year
2010 (16 years ago)
PAC ID
4385172816
Group Practice PAC ID
4880698935
Professional Enrollment ID
I20250113001102
Address ID
IL600319176GU1790XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for LISA RADDATZ (LCPC)

  • 214 SIWIHA DR

    GRAYSLAKE, IL 600301444

    Phone: (970) 571-1952

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250113001102IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880698935View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

Is LISA RADDATZ (LCPC) listed with a National Provider Identifier?
Yes — LISA RADDATZ (LCPC) has NPI 1043570237 on file in the registry.
Is LISA RADDATZ (LCPC) shown as active in public data?
Registry records indicate LISA RADDATZ (LCPC) maintains an active NPI.
What kind of doctor is LISA RADDATZ (LCPC)?
LISA RADDATZ (LCPC) is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is LISA RADDATZ (LCPC) registered?
Use Grayslake, Illinois as the headline location for LISA RADDATZ (LCPC) here.
Does LISA RADDATZ (LCPC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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