Individual provider Active NPI

Alison Courtney Stoll, LCPC

  • Mental Health Counselor
  • Evanston, IL
National Provider Identifier
1891438008
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.014520 Issued in IL
Practice address
636 Church St Ste 520
Evanston, IL 60201-4581
Phone
(847) 864-0600
NPI assigned
Apr 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 178.015899 IL
Mental Health Counselor 101YM0800X 180.014520 IL Primary

Addresses

Primary practice location

636 Church St Ste 520
Evanston, IL 60201-4581

Mailing address

636 Church St Ste 520
Evanston, IL 60201-4581
Phone (847) 864-0600

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.evanstonpsychologists.com/contact/ Direct Jennifer C. Panning PsyD PC

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

LicenseStateTypeSpecialty
178.015899ILMDMental Health Counselor
180.014520ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1891438008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 520",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014581",
            "telephone_number": "847-864-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 520",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014581",
            "telephone_number": "847-864-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "ALISON",
        "middle_name": "COURTNEY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015899",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.014520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.evanstonpsychologists.com/contact/",
            "affiliation": "Y",
            "endpointDescription": "Contact Mindful Psychology Associates",
            "affiliationName": "Jennifer C. Panning PsyD PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "636 Church St Ste 520",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602014581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.