Individual provider Active NPI

Stephanie Elaine Yunez

  • Mental Health Counselor
  • Oak Park, IL
National Provider Identifier
1932759172
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.015251 Issued in IL
Practice address
715 Lake St Ste 800
Oak Park, IL 60301-1417
Phone
(773) 899-6278
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IL
Mental Health Counselor 101YM0800X 180.015251 IL Primary

Addresses

Primary practice location

715 Lake St Ste 800
Oak Park, IL 60301-1417

Mailing address

715 Lake St Ste 800
Oak Park, IL 60301-1417

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
I20240228003107 IL Practitioner - Mental Health Counselor 7315382405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Counseling Partners LLCGroup PAC ID 0749605830, 14 clinicians

Practice addresses (Care Compare)

457 Coventry LN
Crystal Lake, IL 60014-7571
Phone (773) 312-3612

715 Lake St
Suite 273
Oak Park, IL 60301-1411
Phone (773) 312-3612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.015251ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Counseling Partners LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1641 N Milwaukee Ave
Ste 9
Libertyville, IL 60048
Phone (773) 312-3621

715 Lake St
Ste 273
Oak Park, IL 60301
Phone (708) 848-3800

715 Lake St
Ste 800
Oak Park, IL 60301
Phone (708) 848-4188

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1932759172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LAKE ST STE 800",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST STE 800",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011417",
            "telephone_number": "773-899-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNEZ",
        "first_name": "STEPHANIE",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.015251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.