Robert Preston Stanford, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008054 Issued in IL

Practice address

1649 W Sherwin Ave Apt 3
Chicago, IL 60626-1900

Phone

(773) 559-5958

NPI assigned

Apr 30, 2012

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Waterbrook Therapy, Inc.

  • Professional Counselor
  • Chicago, IL
  • NPI 1528525383
  NPD Authorized official
• Waterbrook Counseling Services, P.C.

  • Professional Counselor
  • Chicago, IL
  • NPI 1326396318
  NPD (past) Authorized official

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1366700155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 WEST SHERWIN AVE. #3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261900",
            "telephone_number": "773-559-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 W SHERWIN AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261900",
            "telephone_number": "773-559-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "ROBERT",
        "middle_name": "PRESTON",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Standage, MD
• Lana Standard, LCSW
• Caitrin Standring, PA-C
• Peter Stanek, D.D.S.
• Kimberly Stanford
• William H Stanford, D.O.
• Clarissa Stanhope, OTD, OTR/L
• Thomas Gabriel Stanila, MD
• Natalie Stanish, LMFT
• Alexander Vladimir Stanisic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.