Individual provider Active NPI

Stephen Rodger Hoffmann

  • Professional Counselor
  • Wheaton, IL
National Provider Identifier
1114446754
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-000923 Issued in IL
Practice address
1737 S Naperville Rd
Wheaton, IL 60189-5894
Phone
(630) 682-2833
Fax
(630) 682-2833
NPI assigned
Sep 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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 180-000923 IL Primary

Addresses

Primary practice location

1737 S Naperville Rd
Wheaton, IL 60189-5894

Mailing address

471 Treasure Dr
Oswego, IL 60543-7947
Phone (904) 562-8428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423001582 IL Practitioner - Mental Health Counselor 5294174397 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

600 W Ogden Ave
Hinsdale, IL 60521-3158
Phone (630) 325-9630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-000923ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. CurrentSince Mar 10, 2024 Accepting new patients
Fox Valley Institute for Growth and Wellness Inc CurrentSince Sep 1, 2024 Accepting new patients
CMC Healthcare LLC CurrentSince Feb 24, 2025 Accepting new patients
Revelations RX PLLC CurrentSince Sep 1, 2024 Accepting new patients
Psychology Specialists LTD Past Accepting new patients

Locations

2124 Ogden Ave
Ste 301
Aurora, IL 60504
Phone (331) 227-5496

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

640 N River Rd
Ste 108
Naperville, IL 60563
Phone (630) 359-8951

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1114446754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 TREASURE DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437947",
            "telephone_number": "904-562-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 S NAPERVILLE RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895894",
            "telephone_number": "630-682-2833",
            "fax_number": "630-682-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "STEPHEN",
        "middle_name": "RODGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-000923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.