Individual provider Active NPI

Stephanie Anne Hawotte, LCPC

  • Professional Counselor
  • Hampshire, IL
National Provider Identifier
1538314893
Registry record updated Nov 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007058 Issued in IL
Practice address
278 N State St
Hampshire, IL 60140-9618
Phone
(847) 331-7757
NPI assigned
Nov 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.007058 IL Primary

Addresses

Primary practice location

278 N State St
Hampshire, IL 60140-9618

Mailing address

278 N State St
Hampshire, IL 60140-9618
Phone (847) 331-7757

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912002467 IL Practitioner - Mental Health Counselor 4284174509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Services in Health Psychology, LTDGroup PAC ID 4981736550, 19 clinicians

Practice addresses (Care Compare)

1625 Bethany Rd
Sycamore, IL 60178-3124
Phone (779) 777-7335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.007058ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services in Health Psychology, LTD CurrentSince Jun 29, 2024 Accepting new patients
Three Birds Mental Health Services PLLC Past Accepting new patients

Locations

2540 Hauser Ross Dr
Ste 225
Sycamore, IL 60178
Phone (815) 758-8400

1625 Bethany Rd
Sycamore, IL 60178
Phone (779) 777-7335

1625 Bethany Rd
Ste 1
Sycamore, IL 60178
Phone (779) 777-7335

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": "1227830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227830400000",
    "number": "1538314893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 N STATE ST",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601409618",
            "telephone_number": "847-331-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 N STATE ST",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601409618",
            "telephone_number": "847-331-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWOTTE",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-28",
        "last_updated": "2008-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampshire, IL

Sources for this page

Verify at the official NPI Registry.