Stephanie Heather Mantelman, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180014414 Issued in IL

Practice address

1893 Sheridan Rd Ste 217
Highland Park, IL 60035-2637

Phone

(847) 736-2537

NPI assigned

Jul 20, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1366177693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 SHERIDAN RD STE 217",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352637",
            "telephone_number": "847-736-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 SHERIDAN RD STE 217",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352637",
            "telephone_number": "847-736-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTELMAN",
        "first_name": "STEPHANIE",
        "middle_name": "HEATHER",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BETTERHELP",
            "identifier": "180014414",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Stephanie.m0340@gmail.com",
            "affiliation": "N",
            "address_1": "1893 Sheridan Rd Ste 217",
            "city": "Highland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600352637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Highland Park, IL
• Providers in Highland Park, 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 20, 2022; 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.