Individual provider Active NPI

Stacey Cohn Siver, PH.D.

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1013245232
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-001501 Issued in IL
Practice address
2025 S Arlington Heights Rd
Suite 112
Arlington Heights, IL 60005-4152
Phone
(224) 456-7472
Fax
(847) 545-0405
NPI assigned
Nov 29, 2009
Last updated
May 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-001501 IL Primary

Addresses

Primary practice location

2025 S Arlington Heights Rd
Suite 112
Arlington Heights, IL 60005-4152

Mailing address

3790 N Firestone Dr
Hoffman Estates, IL 60192-1818
Phone (224) 456-7472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
180-001501ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amy J. Wilder, LCSW, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1013245232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 N FIRESTONE DR",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921818",
            "telephone_number": "224-456-7472",
            "fax_number": "847-545-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 112",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054152",
            "telephone_number": "224-456-7472",
            "fax_number": "847-545-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVER",
        "first_name": "STACEY",
        "middle_name": "COHN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-29",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-001501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.