Robin Stumborg, AS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

515 W Saint John St
Olney, IL 62450-1426

Phone

(618) 395-8063

Fax

(618) 395-8063

NPI assigned

Sep 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Science

Practice roles

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.

• South Eastern Illinois Counseling Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Olney, IL
  • NPI 1336137199
  NPD (past)
• South Eastern Illinois Counseling Center Inc

  • Community/Behavioral Health Agency
  • Olney, IL
  • NPI 1649458522
  NPD (past)

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1902355548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MICAH DR",
            "address_2": "DRAWER M",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624504720",
            "telephone_number": "618-395-4306",
            "fax_number": "618-395-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W SAINT JOHN ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624501426",
            "telephone_number": "618-395-8063",
            "fax_number": "618-395-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMBORG",
        "first_name": "ROBIN",
        "name_prefix": "Mrs.",
        "credential": "AS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah K Stevens, M.S., CCC/SLP, DT
• Kathy Stokes
• Deirdre Stout, RN,BS
• Julia Ann Stover
• Street Chiropractic Associates, CTD.
• Timothy John Sullens
• Arcot D Suresh, MD
• Paul W Sutherland, MD
• Heather E Tait
• Lisa Tarpley, MS, NCC

• Mental Health Counselor in Olney, IL
• Providers in Olney, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.