Stacey McGinn Hurst, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-003221 Issued in IL

Practice address

24W788 75TH St
Naperville, IL 60565-1684

Phone

(312) 543-2133

NPI assigned

Sep 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 19, 2024 through Jan 19, 2028

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.

• Mind Body Connections PLLC

  • Clinic/Center
  • Naperville, IL
  • NPI 1649518515
  NPD Authorized official

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1316044860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3S101 ROCKWELL ST UNIT 247",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605552948",
            "telephone_number": "312-543-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24W788 75TH ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651684",
            "telephone_number": "312-543-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "STACEY",
        "middle_name": "MCGINN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-003221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0002232881",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Hunsucker, LPC
• Hunter Family Chiropractic
• Hunter Therapy, LLC
• Angelique Hunter, PT
• Justin T Hunter, D.C.
• Camille Ann Hurta, OTD
• Amyna Husain, D.O.
• Afzal S Hussain, M.D.
• Arif Hussain
• Iqbal Hussain, MD

• Mental Health Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.