Stillwater Counseling and Coaching LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

STILLWATER COUNSELING AND COACHING LLC

Practice address

6912 Main St Ste 123
Downers Grove, IL 60516-3440

Phone

(630) 880-8903

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Theresa Burback, LCPCNPI 1720167380

Title

Partner

Phone

(630) 880-8903

Specialties & licenses 2

Addresses

Practitioners 1

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

• Theresa Burback, L.C.P.C., C.A.D.C.

  • Professional Counselor
  • Downers Grove, IL
  • NPI 1720167380
  NPD Authorized official

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1366214611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MARIA CT",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604479359",
            "telephone_number": "630-880-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 MAIN ST STE 123",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163440",
            "telephone_number": "630-880-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER COUNSELING AND COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-29",
        "status": "A",
        "authorized_official_last_name": "BURBACK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "630-880-8903",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Stepen, LCSW
• Stephen Labbie PHD & Assciates
• Stephen T Jagielo DDS PC
• Rachel Sternberg, DVM
• Tasia Stewart
• Jessica Morgan Stivers, CRNA
• Alison Faye Stock, O.D.
• Milica Stojkovic
• Stone Catchers Counseling PC
• Michael Stone

• Professional Counselor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.