Active NPI
Stefanie Taylor Moss, L.C.P.C.
- Professional Counselor
- Libertyville, IL
National Provider Identifier
1285865618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180006695
- Practice address
- 1641 N Milwaukee Ave
Libertyville, IL 60048-1350 - Phone
- (847) 362-6919
- Fax
- (847) 247-2220
- NPI assigned
- Aug 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180006695 | IL | Primary |
Addresses
Primary practice location
1641 N Milwaukee Ave
Libertyville, IL 60048-1350
Mailing address
221 Broadway
Libertyville, IL 60048-2215
Phone (847) 212-2130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180006695 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1285865618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 BROADWAY",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600482215",
"telephone_number": "847-212-2130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 N MILWAUKEE AVE",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600481350",
"telephone_number": "847-362-6919",
"fax_number": "847-247-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "STEFANIE",
"middle_name": "TAYLOR",
"name_prefix": "Mrs.",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-03",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180006695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.