Active NPI
Stephanie Wendland
- Professional Counselor
- Naperville, IL
National Provider Identifier
1114371218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.011235
- Practice address
- 29 S Webster St Ste 250
Naperville, IL 60540-4560 - Phone
- (630) 420-2596
- Fax
- (630) 420-2796
- NPI assigned
- Apr 15, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401223765 | MI | |
| Professional Counselor | 101YP2500X | 180.011235 | IL | Primary |
Addresses
Primary practice location
29 S Webster St Ste 250
Naperville, IL 60540-4560
Mailing address
4454 E Timberwood Dr
Traverse City, MI 49686-3838
Phone (630) 362-4359
Other practice location 1
810 Cottageview Dr Ste 102
Traverse City, MI 49684-2392
Phone (630) 362-4359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 9, 2025 through Jun 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401223765 | MI | MD | Counselor |
| 180.011235 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie Wendland LPC PLLC | Professional | Current | Accepting new patients |
Locations
810 Cottageview Dr
Ste 102
Traverse City, MI 49684
Phone (231) 714-4840
Organizations & group practices 1
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.
-
- Professional Counselor
- Traverse City, MI
- NPI 1790557585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1114371218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4454 E TIMBERWOOD DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863838",
"telephone_number": "630-362-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 S WEBSTER ST STE 250",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605404560",
"telephone_number": "630-420-2596",
"fax_number": "630-420-2796"
}
],
"practiceLocations": [
{
"address_1": "810 Cottageview Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496842392",
"country_code": "US",
"telephone_number": "630-362-4359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENDLAND",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401223765",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.011235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.