Stacy Hubley, MS LPC
Individual provider Active NPI Counselor · Johnsburg, IL
NPI 1275912016 · NPPES record last updated May 26, 2015
Key facts
- NPI
- 1275912016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 178.006511 (IL)
- Practice address
- 3510 Chapel Hill Rd
Johnsburg, IL 60051-2506 - Phone
- (877) 375-3484
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.006511 | IL | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.006511 | IL | Yes |
Addresses
Primary practice location
3510 Chapel Hill Rd
Johnsburg, IL 60051-2506
Mailing address
508 Tower PL
Fox River Grove, IL 60021-1878
Phone (847) 528-2060
Other providers in Johnsburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.