Active NPI
Stefanie Renee Schanaberger
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1902106289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180009548
- Practice address
- 4101 N Ravenswood Ave
Chicago, IL 60613-2193 - Phone
- (773) 572-5500
- NPI assigned
- Nov 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180009548 | IL | Primary |
Addresses
Primary practice location
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Mailing address
1918 W Crystal St
Chicago, IL 60622-3145
Phone (847) 508-6752
Other practice location 1
777 Oakmont Ln Ste 1600B
Westmont, IL 60559-5577
Phone (773) 432-6559
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 |
|---|---|---|---|
| 180009548 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1902106289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 W CRYSTAL ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223145",
"telephone_number": "847-508-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 N RAVENSWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132193",
"telephone_number": "773-572-5500"
}
],
"practiceLocations": [
{
"address_1": "777 Oakmont Ln Ste 1600B",
"address_purpose": "LOCATION",
"city": "Westmont",
"state": "IL",
"postal_code": "605595577",
"country_code": "US",
"telephone_number": "773-432-6559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHANABERGER",
"first_name": "STEFANIE",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180009548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.