Stephanie Aguilera-Mendoza, LSW
Individual provider Active NPI Mental Health Counselor · Wheaton, IL
NPI 1780469411 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1780469411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 150.110840 (IL)
- Practice address
- 111 N County Farm Rd
Wheaton, IL 60187-3977 - Phone
- (630) 682-7400
- NPI assigned
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
111 N County Farm Rd
Wheaton, IL 60187-3977
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260529000765 | IL | Practitioner - Clinical Social Worker | 7618447749 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.110840 | IL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 150.110840 | IL | Yes |
Addresses
Primary practice location
111 N County Farm Rd
Wheaton, IL 60187-3977
Mailing address
111 N County Farm Rd
Wheaton, IL 60187-3977
Other providers in Wheaton, IL
- Advanced Sport and Wellness LTD
- Advanced Therapeutic Services and Technologies
- Adventist Health Partners, Inc.
- Affinity Clinical Services, LLC
- Joshua Marcus Afram
- Alexandra Leigh Ahlberg
- Omar Ahmad
- Rooda Ahmed
- John Aikenhead
- Mubeena Ajmeri
All providers in Wheaton, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.