Active NPI
William Kevin Stewart, LCPC
- Professional Counselor
- Effingham, IL
National Provider Identifier
1750518148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.008272
- Practice address
- 10475 E Country Club VW
Effingham, IL 62401-6307 - Phone
- (217) 994-4793
- NPI assigned
- Jun 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.008272 | IL | Primary |
Addresses
Primary practice location
10475 E Country Club VW
Effingham, IL 62401-6307
Mailing address
10475 E Country Club VW
Effingham, IL 62401-6307
Phone (217) 994-4793
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.008272 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1750518148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10475 E COUNTRY CLUB VW",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624016307",
"telephone_number": "217-994-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10475 E COUNTRY CLUB VW",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624016307",
"telephone_number": "217-994-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "WILLIAM",
"middle_name": "KEVIN",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-12",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.008272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.