Stephanie Ann Wiese, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.005843 Issued in IL

Practice address

1616 E Roosevelt Rd
Ste. 8
Wheaton, IL 60187-6850

Phone

(630) 588-1201

Fax

(630) 588-1209

NPI assigned

Nov 24, 2008

Last updated

Nov 24, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Stephanie Wiese

  dba Fox Bend Counseling

  • Mental Health Counselor
  • Oswego, IL
  • NPI 1114281870
  Authorized official Same address or phone

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1316192982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 FAIRWAY DR",
            "address_2": "#102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639128",
            "telephone_number": "630-818-7899",
            "fax_number": "630-588-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E ROOSEVELT RD",
            "address_2": "STE. 8",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876850",
            "telephone_number": "630-588-1201",
            "fax_number": "630-588-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.005843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen M Whiting
• Wholistic Hearing Care, LTD
• Bridget Eileen Wiacek, APN
• Ann Marie Widder
• Alyssa Wiedemann, PT, DPT
• Valencia R. Wiggins, LPC
• Brenda Lagunas Wiley, PHD, LP
• Evelyn R Wiley, DDS, MS
• Krisann Willhoit
• Kiera Williams, MSW, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.