Individual provider Active NPI

Stephani Cave, MA, NCC, LCPC

  • Professional Counselor
  • Springfield, IL
National Provider Identifier
1053597633
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007534 Issued in IL
Practice address
501 S 4TH St
Springfield, IL 62701-1715
Phone
(217) 972-4851
Fax
(217) 717-2000
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.007534 IL Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

501 S 4TH St
Springfield, IL 62701-1715

Mailing address

501 S 4TH St
Springfield, IL 62701-1715
Phone (217) 972-4851

Other practice location 1

201 E Morgan St
Jacksonville, IL 62650-2587
Phone (217) 972-4851

Other identifiers 1

IdentifierTypeStateIssuer
932002OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180.007534ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1053597633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 4TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011715",
            "telephone_number": "217-972-4851",
            "fax_number": "217-717-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 4TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011715",
            "telephone_number": "217-972-4851",
            "fax_number": "217-717-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Morgan St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "IL",
            "postal_code": "626502587",
            "country_code": "US",
            "telephone_number": "217-972-4851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVE",
        "first_name": "STEPHANI",
        "credential": "MA, NCC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007534",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "932002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.