Individual provider Active NPI

Althea Stephens-Spencer, LPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1275880635
Registry record updated Aug 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178008247 Issued in IL
Practice address
1617 W Lake St
Chicago, IL 60612-2513
Phone
(312) 952-0248
NPI assigned
Aug 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2012

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 178008247 IL Primary

Addresses

Primary practice location

1617 W Lake St
Chicago, IL 60612-2513

Mailing address

1617 W Lake St
Chicago, IL 60612-2513
Phone (312) 952-0248

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
178008247ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344038400000",
    "number": "1275880635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 W LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122513",
            "telephone_number": "312-952-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 W LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122513",
            "telephone_number": "312-952-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS-SPENCER",
        "first_name": "ALTHEA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-04",
        "last_updated": "2012-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178008247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; 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.