Active NPI
Brittany Stevenson, M.A., L.C.P.C.
- Mental Health Counselor
- Worth, IL
National Provider Identifier
1629515259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180010784
- Practice address
- 11601 S Nagle Ave
Worth, IL 60482-2311 - Phone
- (708) 921-4203
- NPI assigned
- Jan 20, 2017
- Last updated
- Jan 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180010784 | IL | Primary |
Addresses
Primary practice location
11601 S Nagle Ave
Worth, IL 60482-2311
Mailing address
11601 S Nagle Ave
Worth, IL 60482-2311
Phone (708) 921-4203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180010784 | Medicaid | IL |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180010784 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hykelyfe, PLLC | Current | Accepting new patients |
Organizations & group practices 1
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": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1629515259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 S NAGLE AVE",
"city": "WORTH",
"state": "IL",
"postal_code": "604822311",
"telephone_number": "708-921-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 S NAGLE AVE",
"city": "WORTH",
"state": "IL",
"postal_code": "604822311",
"telephone_number": "708-921-4203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "BRITTANY",
"credential": "M.A., L.C.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-20",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180010784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180010784",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.