NPIMap

Organization Active NPI

Stacy a. Stein, LCPC, LLC

  • Professional Counselor
  • Mascoutah, IL
National Provider Identifier
1730542499
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006373 Issued in IL
Legal business name
STACY A. STEIN, LCPC, LLC
Doing business as
Mascoutah Wellness Center
Practice address
111 E Church St
Mascoutah, IL 62258-2110
Phone
(618) 566-3100
Fax
(618) 551-2233
NPI assigned
Mar 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Mrs. Stacy SteinNPI 1558407171
Title
Owner/ LCPC
Phone
(618) 566-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 180006373 IL Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 180010102 IL

Addresses

Primary practice location

111 E Church St
Mascoutah, IL 62258-2110

Mailing address

111 E Church St
Mascoutah, IL 62258-2110
Phone (618) 566-3100

Other names 1

  • Mascoutah Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

111 E State St
Mascoutah, IL 62258
Phone (618) 566-3100

111 E Church St
Mascoutah, IL 62258
Phone (618) 448-0220

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1730542499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E CHURCH ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582110",
            "telephone_number": "618-566-3100",
            "fax_number": "618-551-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E CHURCH ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582110",
            "telephone_number": "618-566-3100",
            "fax_number": "618-551-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY A. STEIN, LCPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER/ LCPC",
        "authorized_official_telephone_number": "618-566-3100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006373",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mascoutah Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mascoutah, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.