Charles H Stone Jr., AS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17004 Issued in IL

Practice address

1325 Sycamore Rd
Dekalb, IL 60115-2483

Phone

(815) 758-8616

Fax

(815) 758-7569

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Science

State licenses

Practice roles

Locations

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.

• Family Service Agency of Dekalb County, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dekalb, IL
  • NPI 1184154007
  NPD
• Family Service Agency of Dekalb County, Inc.

  • Clinic/Center
  • Dekalb, IL
  • NPI 1598820300
  NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1396462024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152483",
            "telephone_number": "815-758-8616",
            "fax_number": "815-758-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152483",
            "telephone_number": "815-758-8616",
            "fax_number": "815-758-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "AS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "17004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cstone@fsadekalbcounty.org",
            "affiliation": "N",
            "endpointDescription": "private work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1325 Sycamore Rd",
            "city": "Dekalb",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601152483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathan Adam Stewart, D.C.
• Kristi Stice, PHARM.D.
• Rachelle Lynn Stockman
• Sanja Stojakovic, APRN
• Aja Stokes-Weston
• Stephen Judd Storey, O,D
• Jamey Stroud
• Madeleine Stucky
• Hannah M Studebaker, L.M.T.
• Rajni M Sud, RD/CDE

• Mental Health Counselor in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Mental Health Counselor in Illinois

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