Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa Marie Kopitzke, LCPC

Individual provider Counselor · NPI 1053280610

Theresa Marie Kopitzke, LCPC is a Mental Health Counselor in Evanston, Illinois. Qualified in 2010, 16 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2025
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1000 Central St Ste 640
Evanston, IL 60201-1780
Phone: (847) 869-0520
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4025 Lee St, Skokie, IL 60076-2137 — (773) 484-5601

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180017559 (IL)
Counselor Taxonomy 101Y00000X

Record details

NPI number1053280610
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedNovember 3, 2025
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Evanston