Still Tides Counseling Services, LTD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STILL TIDES COUNSELING SERVICES, LTD

Practice address

3380 Lacrosse LN Ste 106
Naperville, IL 60564-8528

Phone

(630) 318-0040

NPI assigned

May 26, 2022

Organization subpart

No

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

Authorized official

Name

Jessica Lyn Mueller, LCSWNPI 1922527282

Title

LCSW/President

Phone

(630) 318-0040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Mueller

  • Counselor
  • Naperville, IL
  • NPI 1922527282

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972241065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969 JACOB AVE",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605385122",
            "telephone_number": "630-303-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 LACROSSE LN STE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648528",
            "telephone_number": "630-318-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL TIDES COUNSELING SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "LCSW/PRESIDENT",
        "authorized_official_telephone_number": "630-318-0040",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "149019603",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel R Sterling, PHARMD
• Marie Steta, APN
• Darlene G. Stevens, LCPC
• Jennifer Stewart, LCPC
• Stacey L Stewart, LCPC
• Shenekia Stimage, LPC
• Sara Ann Stimson
• Amy Stoeffler, MD
• Hanna Elizabeth Stoffel, MS
• Lauryn Stoffregen, LPC

• Clinical Social Worker in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.