STACEY L STEWART (NPI# 1619054178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619054178 |
| Entity Type | Individual |
| Full Name | STACEY L STEWART |
| Credential | LCPC |
| Practice Address |
1112 S Washington St Suite 112 Naperville IL 60540-7959 |
| Mailing Address |
210 Oakwood Ln Essex IL 60935-6135 |
| Practice Telephone | 6307179858 |
| Practice Fax Number | 6307178259 |
| Mailing Telephone | 6307179858 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD PROVIDER NUMB | 2232996 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801352067 | Stacey Marie Stewart | Physician Assistant | 3021 Grindley Park St, Dearborn, MI 48124-4522 | 2019-02-13 |
| 1700057072 | Stacey Ruth Stewart | Speech-Language Pathologist | 1816 Mcgee Ave, Northlake, TX 76226 | 2008-03-14 |
| 1306044714 | Stacey Davidson Stewart | Social Worker | 540 Chama St Ne, Suite 2, Albuquerque, NM 87108-3594 | 2007-07-06 |
| 1750426698 | Stacey Stewart | Physical Therapist | 1005 Midwestern Pkwy, Wichita Falls, TX 76302-2211 | 2007-02-20 |
| 1477634384 | Stacey Diane Stewart | Speech-Language Pathologist | 301 High Hopes Ct, Franklin, TN 37064-1452 | 2006-10-18 |
| Street Address |
1112 S WASHINGTON ST SUITE 112 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-7959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073936480 | Elite Performance Insitute LLC | Chiropractor | 1112 S Washington St, Suite 114a, Naperville, IL 60540-7959 | 2014-01-22 |
| 1932540911 | Brian Damhoff | Chiropractor | 1112 S Washington St, Suite 114a, Naperville, IL 60540-7959 | 2013-07-08 |
| 1124384011 | Anjanetta Marie Wonderlick | Dentist | 1112 S Washington St, Suite 211, Naperville, IL 60540-7959 | 2012-04-05 |
| 1568766053 | Oakhill Wellness & Counseling Center | Counselor | 1112 S Washington St, Suite 112, Naperville, IL 60540-7959 | 2010-12-27 |
| 1326281841 | Jrjg Inc. | Home Health | 1112 S Washington St, Suite 15, Naperville, IL 60540-7959 | 2009-04-14 |
| 1306007778 | Prizm Behavioral Services, PC | Preferred Provider Organization | 1112 S Washington St, Suite 202, Naperville, IL 60540-7959 | 2008-06-18 |
| 1376726000 | Richard F Butz | Health Maintenance Organization | 1112 S Washington St, Suite 201, Naperville, IL 60540-7959 | 2007-12-17 |
| 1437345527 | Frank Bendiks, Dc, PC | Chiropractor | 1112 S Washington St, Suite 117, Naperville, IL 60540-7918 | 2007-09-21 |
| 1538369269 | Frank Bendiks | Chiropractor | 1112 S Washington St, Suite 117, Naperville, IL 60540-7918 | 2007-07-20 |
| 1609905421 | Christina Nicole Paulsen | Social Worker | 1112 S Washington St, Naperville, IL 60540-7959 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706371 | Rakhi Shingala | Counselor | Legacy Clinical Consultant, 13717 S. Route 30, 159, Naperville, IL 60544 | 2020-10-08 |
| 1821603895 | Laura M Murray | Counselor | 2712 Forgue Dr Ste 112, Naperville, IL 60564-4230 | 2020-09-15 |
| 1801408935 | Gina Dickison | Counselor | 2311 Bill Ct, Naperville, IL 60565-5240 | 2020-08-19 |
| 1528683208 | Linda Puetz | Counselor | 23w281 Hampton Cir, Naperville, IL 60540-9424 | 2020-06-09 |
| 1134755416 | Courtney Krishona Berry | Counselor | 2211 Waterleaf Ct Unit 202, Naperville, IL 60564-4969 | 2020-03-18 |
| 1710526843 | Jamie M Miles Haynes | Counselor | 4295 Gardenview Dr Apt 211, Naperville, IL 60564-1648 | 2020-01-06 |
| 1780222331 | Ellen R Kuefler | Counselor | 1129 Big Foot Ln, Naperville, IL 60563-2470 | 2019-12-13 |
| 1033773213 | Chelsea Bogda | Counselor | 1754 N Washington St Ste 104a, Naperville, IL 60563-1462 | 2019-04-23 |
| 1811450208 | Jessica L. Kush | Counselor | 29 S Webster St Ste 106, Naperville, IL 60540-5353 | 2019-04-11 |
| 1427511518 | Takeisha Rheams | Counselor | 500 E Ogden Ave Ste 101, Naperville, IL 60563-3264 | 2019-04-07 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
Please comment or provide details below to improve the information on STACEY L STEWART.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.