Stacy Renne Epps, CCDC CCJS CDP AT CAD

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15175 Issued in IN

Practice address

10559 S Prospect Ave
Chicago, IL 60643-2923

Phone

(773) 339-5746

Fax

(773) 238-3278

NPI assigned

Aug 7, 2018

Last updated

Aug 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1184103525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STACY RENNE EPPS DE STEFANO",
            "address_2": "10559 SOUTH PROSPECT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432923",
            "telephone_number": "773-339-5746",
            "fax_number": "773-238-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10559 S PROSPECT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432923",
            "telephone_number": "773-339-5746",
            "fax_number": "773-238-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPS",
        "first_name": "STACY",
        "middle_name": "RENNE",
        "name_prefix": "Mrs.",
        "credential": "CCDC CCJS CDP AT CAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "15175",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "15175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyren Ellery Epperson, LMT
• Walter John Eppich, MD
• Myra Epping, MSW
• Ashunti Epps
• Stacie Epps
• Epss LLC- Lakeside Series
• Aaron S Epstein, MD
• Abiyahdov Mattisyahu Epstein, LMT, CLDT
• Allison Epstein
• Deborah S Epstein, PA

• Addiction (Substance Use Disorder) Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.