Organization Active NPI

Integral Therapy Inc.

  • Mental Health Counselor
  • Downers Grove, IL
National Provider Identifier
1043802663
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INTEGRAL THERAPY INC.
Practice address
5133 Washington St Ste 11
Downers Grove, IL 60515-4795
Phone
(630) 398-1023
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Stacey Sanicki, LCSWNPI 1811315484
Title
LCSW/Owner
Phone
(630) 398-1023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5133 Washington St Ste 11
Downers Grove, IL 60515-4795

Mailing address

5133 Washington St Ste 6
Downers Grove, IL 60515-4757
Phone (630) 398-1023

Other names 1

  • Stacey Sanicki Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260304001536 IL Part B Supplier - Clinic/Group Practice 7911489497 Receives reassigned benefits from 1 practitioner
Practice locations: Downers Grove, IL

National Provider Directory

National Provider Directory

Locations

5133 Washington St
Ste 11
Downers Grove, IL 60515
Phone (630) 398-1023

5133 Washington St
Ste 6
Downers Grove, IL 60515
Phone (630) 398-1023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1043802663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 WASHINGTON ST STE 6",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154757",
            "telephone_number": "630-398-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 WASHINGTON ST STE 11",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154795",
            "telephone_number": "630-398-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "SANICKI",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "630-398-1023",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacey Sanicki",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.