Active NPI
Ashlee Stumpf, MA, LPC
- Counselor
- Hazel Crest, IL
National Provider Identifier
1700301959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.012874
- Practice address
- 17577 Kedzie Ave
Room 205
Hazel Crest, IL 60429 - Phone
- (773) 230-4547
- NPI assigned
- Aug 9, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.012874 | IL | Primary |
Addresses
Primary practice location
17577 Kedzie Ave
Room 205
Hazel Crest, IL 60429
Mailing address
17577 Kedzie Ave Ste 205
Hazel Crest, IL 60429-2053
Phone (773) 230-4547
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 |
|---|---|---|---|
| 178.012874 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1700301959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17577 KEDZIE AVE STE 205",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292053",
"telephone_number": "773-230-4547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17577 KEDZIE AVE",
"address_2": "ROOM 205",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "60429",
"telephone_number": "773-230-4547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMPF",
"first_name": "ASHLEE",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.012874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.