LUKASZ KONOPKA – Psychologist, NPI 1215469911
Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
1,600 CLINICAL PSYCHOLOGIST in IL
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Provider Addresses for LUKASZ KONOPKA
PO BOX 713260
CHICAGO, IL 606770264
Phone: (630) 469-9200
Type: Mailing
4302, West Crystal Lake Road, Westside Crest Apartments, McHenry, McHenry County, Illinois, 60050, United States
MCHENRY, IL 600504248
Phone: (815) 271-5608
Type: Mailing
1239 WINDHAM PKWY
ROMEOVILLE, IL 604461608
Phone: (815) 942-6323
Fax: (779) 210-5541
Type: Location
1860 PAYSPHERE CIR
CHICAGO, IL 606740264
Phone: (630) 469-9200
Fax: (779) 210-5541
Type: Mailing
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: 2024-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170926001116 | I | Clinical Psychologist | IL | TBD |
| I20241105001871 | I | Clinical Psychologist | WI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 26 | 17 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 21 | 21 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 17 | 17 | $0 |
| 96130 | Evaluation of psychological test, first hour | 15 | 15 | $0 |
| 96131 | Evaluation of psychological test, each additional hour | 15 | 15 | $0 |
Insurance plans in this area (ZIP 60677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| Physician Assistant | WI | |
| Mental Health Counselor | WI | |
| - | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WI | |
| Mental Health Counselor | WI |
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