Stacey Digrazia, MS, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010411 Issued in IL

Practice address

405 Illinois Ave Unit 2C
St Charles, IL 60174-2963

Phone

(630) 377-3535

NPI assigned

Feb 20, 2017

Last updated

Feb 20, 2017By 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

Credentials

Master of Science

State licenses

Practice roles

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.

• David Goodman, PH.D. Psychologist LTD.

  dba David Goodman, Ph.D. Psychologist Associates

  • Clinical Psychologist
  • St Charles, IL
  • NPI 1659485878
  NPD (past)

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1700325065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WESTON CT",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031345",
            "telephone_number": "630-768-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ILLINOIS AVE UNIT 2C",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742963",
            "telephone_number": "630-377-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGRAZIA",
        "first_name": "STACEY",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jussyl B Diazluna
• Dickens, Mason & Kissell DDS LTD
• Anita Ann Dickerson, D.C.
• Katie Dickinson
• Brittany Dickson
• Ioanna Dimova, DC
• Elisabeth Dinuzzo
• Marissa Dinuzzo
• Directions Counseling Center, LLC
• Richard Alan Disimoni, D.D.S.

• Professional Counselor in St Charles, IL
• Providers in St Charles, IL by specialty
• Professional Counselor in Illinois

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

Verify at the official NPI Registry.