Anancia S Stafford, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180.012358 Issued in IL

Practice address

73 W Monroe St Ste 228
Chicago, IL 60603-4955

Phone

(773) 413-8054

NPI assigned

Aug 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inner Peaces Counseling and Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1679103097
  NPD Authorized official

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1306327358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 S UNIVERSITY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606375894",
            "telephone_number": "773-800-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 W MONROE ST STE 228",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034955",
            "telephone_number": "773-413-8054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3828 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606244027",
            "country_code": "US",
            "telephone_number": "773-826-1916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 S Michigan Ave Ste 1450",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60603",
            "country_code": "US",
            "telephone_number": "312-786-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "ANANCIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.012358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Michelle Stacy, OTR/L
• Denise Marie Stacy, CADC
• Gregory Stacy
• Christopher R Stadnicki, PA-C
• Joseph Staffetti
• John A Stafford
• Michael David Stage
• Ernestina Stagen
• David Blake Stagg, MD, PHD
• Patrick Stagg, P.A.

• Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2020; 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.