Active NPI
David R Stiver
- Professional Counselor
- Waukegan, IL
National Provider Identifier
1851557599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-008203
- Practice address
- 2233 Yeoman St
Waukegan, IL 60087-4814 - Phone
- (224) 715-8756
- NPI assigned
- Aug 1, 2008
- 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 | 180-008203 | IL | Primary |
Addresses
Primary practice location
2233 Yeoman St
Waukegan, IL 60087-4814
Mailing address
PO Box9252
Waukegan, IL 60079-9252
Phone (224) 715-8756
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 |
|---|---|---|---|
| 180-008203 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1851557599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX9252",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600799252",
"telephone_number": "224-715-8756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 YEOMAN ST",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600874814",
"telephone_number": "224-715-8756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIVER",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-01",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-008203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.