Individual provider Active NPI

Julie Stephens, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coal City, IL
National Provider Identifier
1902633092
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209029885 Issued in IL
Practice address
695 S Broadway St
Coal City, IL 60416-1705
Phone
(815) 214-9162
Fax
(815) 208-2194
NPI assigned
Sep 14, 2024
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209029885 IL Primary

Addresses

Primary practice location

695 S Broadway St
Coal City, IL 60416-1705

Mailing address

454 North St
Essex, IL 60935-6111
Phone (815) 703-4301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409001116 IL Practitioner - Nurse Practitioner 4183148356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mending Hearts TherapyGroup PAC ID 5597131318, 2 clinicians

Practice addresses (Care Compare)

815 S Laura LN
Diamond, IL 60416-9314
Phone (630) 309-0926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Hearts Therapy CurrentSince Mar 3, 2025 Accepting new patients

Locations

695 S Broadway St
Coal City, IL 60416
Phone (815) 634-0445

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1902633092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 NORTH ST",
            "city": "ESSEX",
            "state": "IL",
            "postal_code": "609356111",
            "telephone_number": "815-703-4301",
            "fax_number": "815-208-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S BROADWAY ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161705",
            "telephone_number": "815-214-9162",
            "fax_number": "815-208-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JULIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-14",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209029885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal City, IL

Sources for this page

Verify at the official NPI Registry.