Stacy Marie Carmona

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

900 Jorie Blvd Ste 11
Oak Brook, IL 60523-2268

Phone

(708) 990-8221

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Psychealth Services, Inc.

  • Clinical Social Worker
  • Oak Brook, IL
  • NPI 1275005670

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1578330288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JORIE BLVD STE 11",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232268",
            "telephone_number": "708-990-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JORIE BLVD STE 11",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232268",
            "telephone_number": "708-990-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMONA",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Carger, PHD
• Ann Carlson, LCSW
• Kathleen Erin Carlson
• Nicole Grace Carlson
• Felicia Leigh Carmel, PSY.D.
• Kathryn Casamassimo
• Michael Castellanos, LPC
• Jennifer K Catalfio, PA-C
• Katherine Caulfield
• Gastone Gugliemo Celesia, M.D.

• Mental Health Counselor in Oak Brook, IL
• Providers in Oak Brook, 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 Dec 4, 2023; 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.