DAVID PETER BRONSVELD – Professional Counselor, NPI 1992433189

DAVID PETER BRONSVELD is a healthcare provider. based in Mount prospect, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 178.018259 (IL). The NPI Number for DAVID PETER BRONSVELD is 1992433189

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DAVID PETER BRONSVELD
NPI
1992433189
Phone
(312) 536-3221
Address
1306 S SIR GALAHAD LN APT 2A
Enumeration Date
15 August 2022
Last Update Date
13 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474619162
Graduation Year
2022 (4 years ago)
PAC ID
5698270007
Group Practice PAC ID
2163873803
Professional Enrollment ID
I20250925004820
Address ID
IL600441660LA100XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for DAVID PETER BRONSVELD

  • 1306 S SIR GALAHAD LN APT 2A

    MOUNT PROSPECT, IL 600565137

    Phone: (312) 536-3221

    Type: Mailing

  • 3633 W LAKE AVE STE 300

    GLENVIEW, IL 600265803

    Phone: (847) 699-2490

    Type: Location

  • 100 N WAUKEGAN RD STE 204

    LAKE BLUFF, IL 600441660

    Phone: (312) 298-9562

    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: 2025-09-25

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
I20250925004820IMental 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 60056)

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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: 2163873803View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DAVID PETER BRONSVELD?
DAVID PETER BRONSVELD — NPI 1992433189 — is the standard way to identify this listing.
Is DAVID PETER BRONSVELD still practicing?
DAVID PETER BRONSVELD is currently listed as active in the public NPI registry.
What is DAVID PETER BRONSVELD's primary classification?
Professional Counselor is the headline specialty for DAVID PETER BRONSVELD here. Clinical services aligned with this taxonomy classification.
What address line appears for DAVID PETER BRONSVELD?
DAVID PETER BRONSVELD's geographic hint is Mount Prospect, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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