Individual provider Active NPI

Loreta Stavskiene, M.S., L.C.P.C., LMHC

  • Professional Counselor
  • Bolingbrook, IL
National Provider Identifier
1912235789
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007075 Issued in IL
Practice address
684 W Boughton Rd Ste 103
Bolingbrook, IL 60440-1781
Phone
(630) 809-1441
Fax
(888) 409-5760
NPI assigned
Dec 6, 2009
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002233A IN
Professional Counselor 101YP2500X 180007075 IL Primary

Addresses

Primary practice location

684 W Boughton Rd Ste 103
Bolingbrook, IL 60440-1781

Mailing address

351 Stone Creek Dr
Bolingbrook, IL 60440-1072
Phone (630) 935-8568

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106000019 IL Practitioner - Mental Health Counselor 0143758193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

684 W Boughton Rd
Suite 103
Bolingbrook, IL 60440-1781
Phone (630) 809-1441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39002233AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
All About Minds Corp. Professional CurrentSince Jul 23, 2024 Accepting new patients
Experience Counseling LLC Mental Health PastSince Dec 10, 2023 Accepting new patients

Locations

684 W Boughton Rd
Ste 103
Bolingbrook, IL 60440
Phone (312) 622-6962

Organizations & group practices 2

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": "1260057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1912235789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 STONE CREEK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401072",
            "telephone_number": "630-935-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 W BOUGHTON RD STE 103",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401781",
            "telephone_number": "630-809-1441",
            "fax_number": "888-409-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVSKIENE",
        "first_name": "LORETA",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.C.P.C., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-06",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002233A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.