Jacqueline Therese Stamm, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178015746 Issued in IL

Practice address

137 N Oak Park Ave Ste 218
Oak Park, IL 60301-1340

Phone

(708) 317-8873

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1548995160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 EDGEWOOD PL",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051651",
            "telephone_number": "708-715-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 218",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011340",
            "telephone_number": "708-317-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMM",
        "first_name": "JACQUELINE",
        "middle_name": "THERESE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178015746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.hopepsychpllc.com",
            "affiliation": "N",
            "address_1": "137 N Oak Park Ave Ste 218",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603011340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harsaheb Kaur Sra, MD
• Alka Srivastava, M.B.B.S
• Michele Stack, CRNA
• Tiffany Alese Staesche, ARDMS
• Terry Lou Stagman, PHD
• Olga Marie Stamp Rubio
• Carol Stanley, APN FNP-BC
• Amy Christine Starin, MSW, LCSW
• Patricia J Starkey, DPT
• Starks Therapy Group

• Mental Health Counselor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.