Organization Active NPI

S. Burby Mental Health Consulting, PLLC

  • Clinical Social Worker
  • Matteson, IL
National Provider Identifier
1396469896
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Stefanie Burby, LCSWNPI 1558762724
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1558762724MedicaidIL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.