Active NPI
Eric Stobie, LMCH, LPC
- Mental Health Counselor
- Richton Park, IL
National Provider Identifier
1154189249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178019969
- Practice address
- 4137 Sauk TRL Ste 196
Richton Park, IL 60471-1253 - Phone
- (219) 595-0043
- Fax
- (219) 237-2894
- NPI assigned
- Mar 12, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 88000393A | IN | |
| Mental Health Counselor | 101YM0800X | 178019969 | IL | Primary |
Addresses
Primary practice location
4137 Sauk TRL Ste 196
Richton Park, IL 60471-1253
Mailing address
9250 Columbia Ave
Munster, IN 46321-3538
Phone (219) 595-0043
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178019969 | IL | MD | Mental Health Counselor |
| 88000393A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1154189249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 COLUMBIA AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213538",
"telephone_number": "219-595-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4137 SAUK TRL STE 196",
"city": "RICHTON PARK",
"state": "IL",
"postal_code": "604711253",
"telephone_number": "219-595-0043",
"fax_number": "219-237-2894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOBIE",
"first_name": "ERIC",
"credential": "LMCH, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "88000393A",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178019969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richton Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.