Individual provider Active NPI

Cynthia Stafford, M.A., LCPC

  • Professional Counselor
  • Geneva, IL
National Provider Identifier
1346667417
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.001516 Issued in IL
Practice address
2631 Williamsburg Ave Ste 302
Geneva, IL 60134-1128
Phone
(630) 262-2640
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.001516 IL Primary

Addresses

Primary practice location

2631 Williamsburg Ave Ste 302
Geneva, IL 60134-1128

Mailing address

2631 Williamsburg Ave Ste 302
Geneva, IL 60134-1128
Phone (630) 262-2640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 3, 2024 through Jan 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.001516ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stafford Counseling, Inc Professional Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1346667417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 WILLIAMSBURG AVE STE 302",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341128",
            "telephone_number": "630-262-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 WILLIAMSBURG AVE STE 302",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341128",
            "telephone_number": "630-262-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "CYNTHIA",
        "credential": "M.A., LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.001516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.