Individual provider Active NPI

Stephanie K Weir, LCPC

  • Professional Counselor
  • Peoria Heights, IL
National Provider Identifier
1598410177
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.014251 Issued in IL
Practice address
4700 N Prospect Rd Ste A2D
Peoria Heights, IL 61616-6473
Phone
(309) 431-1526
NPI assigned
Feb 13, 2022
Last updated
Mar 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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 180.014251 IL Primary

Addresses

Primary practice location

4700 N Prospect Rd Ste A2D
Peoria Heights, IL 61616-6473

Mailing address

4700 N Prospect Rd Ste A2D
Peoria Heights, IL 61616-6473
Phone (309) 431-1526

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

State licenses

LicenseStateTypeSpecialty
180.014251ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
By Faith Counseling PLLC Professional CurrentSince Mar 12, 2024 Accepting new patients
Hope Counseling & Therapy Services, LCPC Professional CurrentSince Feb 1, 2022 Accepting new patients

Locations

4700 N Prospect Rd
Ste 6C
Peoria Heights, IL 61616

4700 N Prospect Rd
Ste A2D
Peoria Heights, IL 61616
Phone (309) 258-8851

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, 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": "1644710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711756800000",
    "number": "1598410177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N PROSPECT RD STE A2D",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166473",
            "telephone_number": "309-431-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N PROSPECT RD STE A2D",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166473",
            "telephone_number": "309-431-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-13",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; 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.