Individual provider Active NPI

Stacy Kristen Schroepfer, MS, LPC, LCPC

  • Mental Health Counselor
  • Roscoe, IL
National Provider Identifier
1558668681
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.010567 Issued in IL
Practice address
5386 Williams Dr
Roscoe, IL 61073-7320
Phone
(815) 904-2119
NPI assigned
Feb 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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 6132-125 WI
Mental Health Counselor 101YM0800X 180.010567 IL Primary

Addresses

Primary practice location

5386 Williams Dr
Roscoe, IL 61073-7320

Mailing address

5386 Williams Dr
Roscoe, IL 61073-7320
Phone (815) 904-2119

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
I20250327000441 IL Practitioner - Mental Health Counselor 5799226031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5386 Williams Dr
Roscoe, IL 61073-7320
Phone (815) 904-2119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180.010567ILMDMental Health Counselor
6132-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway to Inner Peace, PLLC Mental Health CurrentSince Feb 6, 2024 Accepting new patients
Astor Services for Children and Families Past Accepting new patients
Astor Family Services Past Accepting new patients

Locations

5386 Williams Dr
Roscoe, IL 61073
Phone (815) 904-2119

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1558668681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5386 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737320",
            "telephone_number": "815-904-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5386 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737320",
            "telephone_number": "815-904-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEPFER",
        "first_name": "STACY",
        "middle_name": "KRISTEN",
        "credential": "MS, LPC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6132-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.010567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roscoe, IL

Sources for this page

Verify at the official NPI Registry.