Stacey Nicole Schloss Patterson, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C0500056 Issued in OH

Practice address

1101 31St St Ste 105
Downers Grove, IL 60515-5535

Phone

(630) 206-0272

Fax

(205) 926-0640

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Alder Grove Counseling, LTD.

  • Community/Behavioral Health Agency
  • Downers Grove, IL
  • NPI 1942610738
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1487795043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 31ST ST STE 105",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155535",
            "telephone_number": "630-206-0272",
            "fax_number": "630-926-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 31ST ST STE 105",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155535",
            "telephone_number": "630-206-0272",
            "fax_number": "205-926-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "STACEY",
        "middle_name": "NICOLE SCHLOSS",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007059",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0500056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "180.007059",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruhi Bharat Patel, DMD
• Shruti Patel, OTR/L
• Richard Edward Patelski, DDS MAGD
• Jordan Patierno
• Gail L Patterson, P.T.
• Kristen Paulius, ATC
• Sonja Rae Paulson, PHARM D.
• Adlin Pazmino, PA
• Pearl of Downers Grove LLC
• Nancy E Pecen, M.D.

• Professional Counselor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.