Active NPI
Anne Marie Tormos, LCPC
- Mental Health Counselor
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 206 N Randolph St Ste 246
Champaign, IL 61820-3949 - Phone
- (833) 351-8255
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5594 | TN | |
| Mental Health Counselor | 101YM0800X | CTB-2025-0661 | NM | |
| Mental Health Counselor | 101YM0800X | 180.010252 | IL | |
| Mental Health Counselor | 101YM0800X | IL | Primary | |
| Mental Health Counselor | 101YM0800X | MH24850 | FL | |
| Mental Health Counselor | 101YM0800X | 017460-01 | NY |
Addresses
Primary practice location
206 N Randolph St Ste 246
Champaign, IL 61820-3949
Mailing address
109 W 27TH St RM 5S
New York, NY 10001-6208
Phone (833) 351-8255
Other names 1
- Miss Anne Marie Taddeo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Pkwy Dr
Suite 150
Lincolnshire, IL 60069-4340
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH24850 | FL | MD | Mental Health Counselor |
| 180.010252 | IL | MD | Mental Health Counselor |
| CTB-2025-0661 | NM | MD | Mental Health Counselor |
| 017460-01 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Mental Health | Current | Accepting new patients |
| MCCD FL Psychiatry Services PA | Current | Accepting new patients | |
| Psychology Specialists LTD | Past | Accepting new patients | |
| Edgewood Clinical Services, P.C. | Past | Accepting new patients |
Locations
250 Parkway Dr
Ste 150
Lincolnshire, IL 60069
Phone (847) 480-1346
1500 Eisenhower Ln
Unit E
Lisle, IL 60532
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
Interoperability endpoints
- lifestancehealth.annetormos@146897.advancedmd-direct.com
Organizations & group practices 4
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.
-
dba Talkiatry
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
IL
-
dba LifeStance
- Psychologist
- Naperville, IL
- NPI 1295914646
Mental Health
-
dba LifeStance
- Community/Behavioral Health Agency
- Naperville, IL
- NPI 1366784837
-
dba LifeStance Health
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1033682299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 27TH ST RM 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "833-351-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N RANDOLPH ST STE 246",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203949",
"telephone_number": "833-351-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORMOS",
"first_name": "ANNE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "5594",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CTB-2025-0661",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.010252",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH24850",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "017460-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "TADDEO",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "LCPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.