Individual provider Active NPI

Stephanie Brown, MA, LCPC

  • Mental Health Counselor
  • Morton, IL
National Provider Identifier
1174003289
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.007282 Issued in IL
Practice address
320 E Jackson St Ste 3
Morton, IL 61550-1615
Phone
(309) 321-8762
NPI assigned
Aug 17, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180.007282 IL Primary

Addresses

Primary practice location

320 E Jackson St Ste 3
Morton, IL 61550-1615

Mailing address

320 E Jackson St Ste 3
Morton, IL 61550-1615
Phone (309) 321-8762

Other practice location 1

320 E Jackson St Ste 3
Morton, IL 61550-1615
Phone (309) 321-8762

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
I20240618002596 IL Practitioner - Mental Health Counselor 1052854007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Counselors LTDGroup PAC ID 1951740901, 6 clinicians

Practice addresses (Care Compare)

616 Iaa Dr
Bloomington, IL 61701-2225
Phone (309) 261-6129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.007282ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counselors LTD. Single Specialty CurrentSince Apr 7, 2024 Accepting new patients
Compass Counselors LTD. Single Specialty CurrentSince Aug 10, 2025 Accepting new patients

Locations

1701 Clearwater Ave
Ste D
Bloomington, IL 61704
Phone (309) 590-6788

616 Iaa Dr
Bloomington, IL 61701
Phone (309) 212-2205

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, 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": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1174003289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E JACKSON ST STE 3",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501615",
            "telephone_number": "309-321-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E JACKSON ST STE 3",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501615",
            "telephone_number": "309-321-8762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Jackson St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Morton",
            "state": "IL",
            "postal_code": "615501615",
            "country_code": "US",
            "telephone_number": "309-321-8762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, IL

Sources for this page

Verify at the official NPI Registry.