Individual provider Active NPI

Robert Lewis Stymets, MA

  • Professional Counselor
  • Decatur, IL
National Provider Identifier
1093053316
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180000685 Issued in IL
Practice address
215 S Delmar Ave
Decatur, IL 62522-2507
Phone
(217) 972-0969
NPI assigned
Jan 21, 2013
Last updated
Jan 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180000685 IL Primary

Addresses

Primary practice location

215 S Delmar Ave
Decatur, IL 62522-2507

Mailing address

215 S Delmar Ave
Decatur, IL 62522-2507
Phone (217) 972-0969

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: No
  • 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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180000685ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rosecrance Inc Current Accepting new patients
Deer Oaks Mid-West LLC CurrentSince Aug 15, 2024 Accepting new patients
Rosecrance Inc CurrentSince Apr 23, 2024 Accepting new patients
Rosecrance Inc CurrentSince Apr 23, 2024 Accepting new patients

Locations

720 Raymond Dr
Naperville, IL 60563
Phone (630) 355-0220

1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600

1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1093053316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S DELMAR AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625222507",
            "telephone_number": "217-972-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S DELMAR AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625222507",
            "telephone_number": "217-972-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYMETS",
        "first_name": "ROBERT",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180000685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.