Active NPI
Stephanie Knight Englund, LSW, CADC
- Social Worker
- Dekalb, IL
National Provider Identifier
1821390972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150105253
- Practice address
- 12 Health Services Dr
Dekalb, IL 60115-9637 - Phone
- (815) 756-4875
- NPI assigned
- Nov 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A2161868 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 33201 | IL | |
| Social Worker | 104100000X | 150105253 | IL | Primary |
Addresses
Primary practice location
12 Health Services Dr
Dekalb, IL 60115-9637
Mailing address
1212 Ogletree PL
Dixon, IL 61021-1338
Phone (815) 503-1007
Other practice location 1
325 Rte 2
Dixon, IL 61021-9118
Phone (815) 284-6611
Other practice location 2
4705 N Sonora Ave
Fresno, CA 93722-3966
Phone (559) 276-7558
Other practice location 3
1901 1st Ave
Sterling, IL 61081-1203
Phone (815) 626-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E52479175630 | Other | IL | DRIVER'S LICENSE |
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 |
|---|---|---|---|
| A2161868 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 33201 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 150105253 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Solutions: Integrative Healing & Well Being LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Dekalb, IL
- NPI 1720462799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1821390972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 OGLETREE PL",
"city": "DIXON",
"state": "IL",
"postal_code": "610211338",
"telephone_number": "815-503-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 HEALTH SERVICES DR",
"city": "DEKALB",
"state": "IL",
"postal_code": "601159637",
"telephone_number": "815-756-4875"
}
],
"practiceLocations": [
{
"address_1": "325 Rte 2",
"address_purpose": "LOCATION",
"city": "Dixon",
"state": "IL",
"postal_code": "610219118",
"country_code": "US",
"telephone_number": "815-284-6611",
"fax_number": "815-284-6598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4705 N Sonora Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937223966",
"country_code": "US",
"telephone_number": "559-276-7558",
"fax_number": "559-276-7568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 1st Ave",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "IL",
"postal_code": "610811203",
"country_code": "US",
"telephone_number": "815-626-7333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENGLUND",
"first_name": "STEPHANIE",
"middle_name": "KNIGHT",
"name_prefix": "Mrs.",
"credential": "LSW, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-23",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A2161868",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "33201",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150105253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "E52479175630",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.