Individual provider Active NPI

Staci E. Zerphey, LCPC, ATR

  • Mental Health Counselor
  • Oak Park, IL
National Provider Identifier
1114542040
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.013734 Issued in IL
Practice address
1011 Lake St Ste 425
Oak Park, IL 60301-1163
Phone
(312) 870-0120
Fax
(312) 819-2080
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 18-487
Mental Health Counselor 101YM0800X 180.013734 IL Primary

Addresses

Primary practice location

1011 Lake St Ste 425
Oak Park, IL 60301-1163

Mailing address

1011 Lake St Ste 425
Oak Park, IL 60301-1163
Phone (312) 870-0120

Other practice location 1

900 Skokie Blvd Ste 255
Northbrook, IL 60062-4054
Phone (312) 870-0120

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

State licenses

LicenseStateTypeSpecialty
180.013734ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Natalia Kaczmarek PLLC Mental Health PastSince Oct 27, 2024 Accepting new patients
Natalia Kaczmarek LLC Mental Health PastSince Oct 27, 2024 Accepting new patients

Organizations & group practices 2

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1114542040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST STE 425",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011163",
            "telephone_number": "312-870-0120",
            "fax_number": "312-819-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST STE 425",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011163",
            "telephone_number": "312-870-0120",
            "fax_number": "312-819-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Skokie Blvd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600624054",
            "country_code": "US",
            "telephone_number": "312-870-0120",
            "fax_number": "312-819-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZERPHEY",
        "first_name": "STACI",
        "middle_name": "E.",
        "credential": "LCPC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "18-487",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.013734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.