Active NPI
Stephanie Kathryn Adams, MA, LCPC, LPC-MHSP
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1528618873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178012592
- Practice address
- 3729 N Ravenswood Ave Ste 117
Chicago, IL 60613-3570 - Phone
- (773) 274-0700
- NPI assigned
- Sep 18, 2019
- Last updated
- Feb 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178012592 | IL | Primary |
| Mental Health Counselor | 101YM0800X | 5474 | TN |
Addresses
Primary practice location
3729 N Ravenswood Ave Ste 117
Chicago, IL 60613-3570
Mailing address
714 Mickelson Way
Lebanon, TN 37087-5043
Phone (574) 529-2226
Other practice location 1
714 Mickelson Way
Lebanon, TN 37087-5043
Phone (574) 529-2226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178012592 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrescent Mind, PLLC | Current | Accepting new patients | |
| Beyond the Baby Blues | Past | Accepting new patients | |
| Nurture Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Lebanon, TN
- NPI 1164375739
-
- Clinical Social Worker
- Chicago, IL
- NPI 1164343919
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1871124784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771113600000",
"number": "1528618873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 MICKELSON WAY",
"city": "LEBANON",
"state": "TN",
"postal_code": "370875043",
"telephone_number": "574-529-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3729 N RAVENSWOOD AVE STE 117",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133570",
"telephone_number": "773-274-0700"
}
],
"practiceLocations": [
{
"address_1": "714 Mickelson Way",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "TN",
"postal_code": "370875043",
"country_code": "US",
"telephone_number": "574-529-2226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS",
"first_name": "STEPHANIE",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "MA, LCPC, LPC-MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2026-02-15",
"certification_date": "2026-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178012592",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "5474",
"primary": false
}
],
"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 Feb 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.