Lorin Christin Stelly, M.ED. LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008060 Issued in IL

Practice address

2703 McGraw Dr Ste 3
Bloomington, IL 61704-6089

Phone

(309) 306-1379

NPI assigned

Jun 6, 2008

Last updated

Nov 16, 2018By 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 Education

State licenses

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1750540415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 MORNINGSIDE DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046237",
            "telephone_number": "630-674-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 MCGRAW DR STE 3",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046089",
            "telephone_number": "309-306-1379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W Market St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617013918",
            "country_code": "US",
            "telephone_number": "309-827-5351 x115",
            "fax_number": "309-829-6808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STELLY",
        "first_name": "LORIN",
        "middle_name": "CHRISTIN",
        "credential": "M.ED. LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.