Stacey Cohn Siver, PH.D.
Individual provider Active NPI Professional Counselor · Arlington Heights, IL
NPI 1013245232 · NPPES record last updated May 3, 2010
Key facts
- NPI
- 1013245232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180-001501 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-001501 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy J. Wilder, LCSW, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-001501 | IL | Yes |
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
Other providers in Arlington Heights, IL
- Vinay K. Singh
- Vipul Singhal
- Margaret Mary Sioui
- Gilbert A Sita
- Michele Sitorus
- Christine Siwula
- Damian Janusz Skalak
- Tiffany Skelnik
- Paul John Skiba
- Arthur N Skladman
All providers in Arlington Heights, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.