Active NPI
S. Burby Mental Health Consulting, PLLC
- Clinical Social Worker
- Matteson, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- S. BURBY MENTAL HEALTH CONSULTING, PLLC
- Practice address
- 4749 Lincoln Mall Dr
Ste 202H Pmb2048
Matteson, IL 60443-3826 - Phone
- (708) 252-3152
- NPI assigned
- Sep 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stefanie Burby, LCSW
- Title
- Owner
- Phone
- (708) 252-3152
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4749 Lincoln Mall Dr
Ste 202H Pmb2048
Matteson, IL 60443-3826
Mailing address
4749 Lincoln Mall Dr
Ste 202H Pmb2048
Matteson, IL 60443-3826
Phone (708) 252-3152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558762724 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
21141 Governors Hwy
Ste 205
Matteson, IL 60443
Phone (708) 252-3152
4749 Lincoln Mall Dr
Ste 202H
Matteson, IL 60443
Phone (312) 561-6215
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Matteson, IL
- NPI 1558762724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750809600000",
"number": "1396469896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4749 LINCOLN MALL DR",
"address_2": "STE 202H PMB2048",
"city": "MATTESON",
"state": "IL",
"postal_code": "604433826",
"telephone_number": "708-252-3152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4749 LINCOLN MALL DR",
"address_2": "STE 202H PMB2048",
"city": "MATTESON",
"state": "IL",
"postal_code": "604433826",
"telephone_number": "708-252-3152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S. BURBY MENTAL HEALTH CONSULTING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-28",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A",
"authorized_official_last_name": "BURBY",
"authorized_official_first_name": "STEFANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-252-3152",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558762724",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Matteson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.