Active NPI
Stephanie Brown, MA, LCPC
- Mental Health Counselor
- Morton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.007282
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.007282 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Counselors LTD. | Single Specialty | Current | Accepting new patients |
| Compass Counselors LTD. | Single Specialty | Current | 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.
-
dba The Compass Counselors LTD.
- Professional Counselor
- Bloomington, IL
- NPI 1205213758
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.