Active NPI
Stephen Wissel, L.C.P.C.
- Professional Counselor
- Mount Carmel, IL
National Provider Identifier
1881799815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 801 W 9TH St
Mount Carmel, IL 62863-2446 - Phone
- (618) 263-2707
- NPI assigned
- Sep 14, 2006
- 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 | IL | Primary |
Addresses
Primary practice location
801 W 9TH St
Mount Carmel, IL 62863-2446
Mailing address
PO Box 214
Mount Carmel, IL 62863-0214
Phone (618) 263-2707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09332002 | Other | IL | BLUE CROSS BLUE SHEILD |
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 |
|---|---|---|---|
| 180-002270 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881799815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 214",
"city": "MOUNT CARMEL",
"state": "IL",
"postal_code": "628630214",
"telephone_number": "618-263-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W 9TH ST",
"city": "MOUNT CARMEL",
"state": "IL",
"postal_code": "628632446",
"telephone_number": "618-263-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISSEL",
"first_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "09332002",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Carmel, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.