Active NPI
Stephen Tompkins, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1457174831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.016424
- Practice address
- 1400 W Greenleaf Ave
Chicago, IL 60626-2805 - Phone
- (773) 508-6100
- NPI assigned
- Nov 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.016424 | IL | Primary |
Addresses
Primary practice location
1400 W Greenleaf Ave
Chicago, IL 60626-2805
Mailing address
7708 Laramie Ave
Skokie, IL 60077-2837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7877 Willow Chase Blvd
Houston, TX 77070-5934
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.016424 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychplus Medical Associates, PLLC | Current | Accepting new patients | |
| Psychiatry of Texas PLLC | Current | Accepting new patients |
Locations
1431 McHenry Rd
Ste 105
Buffalo Grove, IL 60089
Phone (708) 286-1264
14484 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 741-2325
7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1457174831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7708 LARAMIE AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W GREENLEAF AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606262805",
"telephone_number": "773-508-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMPKINS",
"first_name": "STEPHEN",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.016424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.