Individual provider Active NPI

Stacy A Rhoades, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1033543293
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180009450 Issued in IL
Practice address
1332 N Halsted St Ste 403
Chicago, IL 60642-2637
Phone
(773) 217-8860
Fax
(773) 442-0350
NPI assigned
Aug 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180009450 IL Primary

Addresses

Primary practice location

1332 N Halsted St Ste 403
Chicago, IL 60642-2637

Mailing address

1934 N Washtenaw Ave Apt 402
Chicago, IL 60647-7138
Phone (773) 425-0027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 4, 2025 through Nov 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180009450ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Present Awakenings Therapy Center, PLLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

3166 N Lincoln Ave
Ste 214A
Chicago, IL 60657
Phone (503) 908-4691

1332 N Halsted St
Ste 403
Chicago, IL 60642
Phone (773) 217-8851

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1033543293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 N WASHTENAW AVE APT 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477138",
            "telephone_number": "773-425-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 N HALSTED ST STE 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422637",
            "telephone_number": "773-217-8860",
            "fax_number": "773-442-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "STACY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180009450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.