Individual provider Active NPI

Stephen Frederick Spieth, M.A.

  • Mental Health Counselor
  • Oak Lawn, IL
National Provider Identifier
1700918331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9401 S 53Rd CT
Oak Lawn, IL 60453-2426
Phone
(708) 423-3361
Fax
(708) 499-7093
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

9401 S 53Rd CT
Oak Lawn, IL 60453-2426

Mailing address

9401 S 53Rd CT
Oak Lawn, IL 60453-2426
Phone (708) 423-3361

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

LicenseStateTypeSpecialty
178-003101ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Village of Oak Lawn Family Service Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700918331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 S 53RD CT",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532426",
            "telephone_number": "708-423-3361",
            "fax_number": "708-499-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 S 53RD CT",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532426",
            "telephone_number": "708-423-3361",
            "fax_number": "708-499-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIETH",
        "first_name": "STEPHEN",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.