Active NPI
Steven J Bloomfield, LPC
- Mental Health Counselor
- Vernon Hills, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178.004557
- Practice address
- 175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454 - Phone
- (847) 868-3435
- Fax
- (847) 859-5885
- NPI assigned
- Jun 1, 2007
- Last updated
- Jul 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.004557 | IL | Primary |
Addresses
Primary practice location
175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Mailing address
175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Phone (847) 868-3435
Other practice location 1
623 Cherbourg Ct N
Buffalo Grove, IL 60089
Phone (847) 404-6045
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.004557 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosecrance Inc | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients |
Locations
1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600
1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500
Interoperability endpoints
- lifestancehealth.stevenbloomfield@146897.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1013289446
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Champaign, IL
- NPI 1629426002
-
dba Rosecrance
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moline, IL
- NPI 1639892698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1194927194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 E HAWTHORN PKWY STE 235",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611454",
"telephone_number": "847-868-3435",
"fax_number": "847-859-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 E HAWTHORN PKWY STE 235",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611454",
"telephone_number": "847-868-3435",
"fax_number": "847-859-5885"
}
],
"practiceLocations": [
{
"address_1": "623 Cherbourg Ct N",
"address_purpose": "LOCATION",
"city": "Buffalo Grove",
"state": "IL",
"postal_code": "60089",
"country_code": "US",
"telephone_number": "847-404-6045",
"fax_number": "801-905-6045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOOMFIELD",
"first_name": "STEVEN",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.004557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.