Stephanie Lynn Arzavala-Reed, LCPC, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180012667 Issued in IL

Practice address

8.5 Canty Lane
Fairview Heights, IL 62208

Phone

(618) 698-3401

NPI assigned

Dec 26, 2019

Last updated

Dec 26, 2019By 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

Other names 1

• Stephanie Arzavala Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Sound Mind Counseling LLC

  • Professional Counselor
  • Fairview Heights, IL
  • NPI 1275168239
  NPD (past) Authorized official
• Reed Wellness Center LLC

  dba Wellness Way

  • Mental Health Counselor
  • Fairview Heights, IL
  • NPI 1336774397
  NPD (past)

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1740829647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8.5 CANTY LANE",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "62208",
            "telephone_number": "618-698-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8.5 CANTY LANE",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "62208",
            "telephone_number": "618-698-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Frank Scott Pkwy W Ste 956",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622235000",
            "country_code": "US",
            "telephone_number": "618-698-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARZAVALA-REED",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "LCPC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180012667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie@soundmindcounselingil.com",
            "affiliation": "N",
            "address_1": "8.5 Canty Lane",
            "city": "Fairview Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ARZAVALA",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.