Stone Bridge Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

STONE BRIDGE COUNSELING LLC

Practice address

3526 N California Ave Ste 204
Peoria, IL 61603-1164

Phone

(815) 408-0522

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Ryne Osterloo, LCPCNPI 1104253319

Title

Counselor

Phone

(309) 251-9328

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Osterloo, LCPC

  • Mental Health Counselor
  • Peoria, IL
  • NPI 1104253319
  NPD Authorized official

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1306464201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 W MICHIGAN AVE",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615489632",
            "telephone_number": "309-251-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 N CALIFORNIA AVE STE 204",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616031164",
            "telephone_number": "815-408-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE BRIDGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "OSTERLOO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RYNE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "309-251-9328",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Stoecker, DPT
• Jessica Christine Stokowski, RN, IBCLC
• Ryan Stoller
• Charne Stoltz
• Edith Stolz, LPC
• Candace Stone, CNP
• Harry C Stone, M.D.
• Laura Lee Stone, MA, LCPC
• Megan Marie Stone
• Lynnsey Stoneking, PHARMD

• Professional Counselor in Peoria, IL
• Providers in Peoria, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.