Individual provider Active NPI

Stephanie Kathryn Adams, MA, LCPC, LPC-MHSP

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1528618873
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178012592 Issued in IL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
178012592ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.