Individual provider Active NPI

Stephanie Goldman Meis, MA LCPC

  • Mental Health Counselor
  • Highland Park, IL
National Provider Identifier
1053574798
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180006342 Issued in IL
Practice address
735 Saint Johns Ave # 400
Highland Park, IL 60035-4649
Phone
(847) 609-0406
Fax
(847) 412-1434
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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 180006342 IL Primary

Addresses

Primary practice location

735 Saint Johns Ave # 400
Highland Park, IL 60035-4649

Mailing address

735 St Johns Ave #400
Highland Park, IL 60035-4649
Phone (847) 609-0406

Other identifiers 1

IdentifierTypeStateIssuer
180.006342OtherILILLINOIS COUNSELING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180006342ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1053574798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 ST JOHNS AVE #400",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354649",
            "telephone_number": "847-609-0406",
            "fax_number": "847-412-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SAINT JOHNS AVE # 400",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354649",
            "telephone_number": "847-609-0406",
            "fax_number": "847-412-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIS",
        "first_name": "STEPHANIE",
        "middle_name": "GOLDMAN",
        "name_prefix": "Ms.",
        "credential": "MA LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180006342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS COUNSELING LICENSE",
            "identifier": "180.006342",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.