Individual provider Active NPI

Stacy Kaplan

  • Professional Counselor
  • Peotone, IL
National Provider Identifier
1194559401
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.016036 Issued in IL
Practice address
306 N Glenview LN
Peotone, IL 60468-9813
Phone
(281) 898-0918
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

151127 S 73Rd Ave
Suite G
Orland Park, IL 60452

15127 S 73Rd Ave G
Orland Park, IL 60462-3402

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20251010003828 IL Practitioner - Mental Health Counselor 1254838535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.016036ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ap Christian Counseling Professional CurrentSince Sep 1, 2024 Accepting new patients
Chicago Christian Counseling Center Inc Professional CurrentSince Sep 18, 2025 Accepting new patients

Locations

15127 S 73rd Ave
Orland Park, IL 60462
Phone (708) 586-9608

15127 S 73rd Ave
Ste G
Orland Park, IL 60462
Phone (630) 990-1935

16107 La Salle St
South Holland, IL 60473

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.016036 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

306 N Glenview LN
Peotone, IL 60468-9813

Mailing address

306 N Glenview LN
Peotone, IL 60468-9813

Other practice location 1

6825 167th St
Tinley Park, IL 60477-2501
Phone (708) 336-4143

Other practice location 2

18161 Morris Ave
Homewood, IL 60430-2108
Phone (708) 798-5433

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2024.

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1194559401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N GLENVIEW LN",
            "city": "PEOTONE",
            "state": "IL",
            "postal_code": "604689813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N GLENVIEW LN",
            "city": "PEOTONE",
            "state": "IL",
            "postal_code": "604689813",
            "telephone_number": "281-898-0918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6825 167th St",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604772501",
            "country_code": "US",
            "telephone_number": "708-336-4143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18161 Morris Ave",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604302108",
            "country_code": "US",
            "telephone_number": "708-798-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.016036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peotone, IL

Sources for this page

Verify at the official NPI Registry.