Individual provider Active NPI

Stephannee R Standefer, LPC

  • Mental Health Counselor
  • Schaumburg, IL
National Provider Identifier
1194969535
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178006070 Issued in IL
Practice address
25 E Schaumburg Rd
Suite 106
Schaumburg, IL 60194-3550
Phone
(847) 981-3514
Fax
(847) 230-3787
NPI assigned
Apr 29, 2009
Last updated
Apr 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178006070 IL Primary

Addresses

Primary practice location

25 E Schaumburg Rd
Suite 106
Schaumburg, IL 60194-3550

Mailing address

25 E Schaumburg Rd
Suite 106
Schaumburg, IL 60194-3550
Phone (847) 981-3514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178006070ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alexian Brothers Behavioral Health Parish Services Past Accepting new patients

Organizations & group practices 1

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1194969535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E SCHAUMBURG RD",
            "address_2": "SUITE 106",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943550",
            "telephone_number": "847-981-3514",
            "fax_number": "847-230-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E SCHAUMBURG RD",
            "address_2": "SUITE 106",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943550",
            "telephone_number": "847-981-3514",
            "fax_number": "847-230-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDEFER",
        "first_name": "STEPHANNEE",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178006070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.