Individual provider Active NPI

Stephanie Lichter, LPC, NCC

  • Mental Health Counselor
  • Lake Bluff, IL
National Provider Identifier
1992370415
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.016432 Issued in IL
Practice address
900 North Shore Dr Ste 120
Lake Bluff, IL 60044-2225
Phone
(847) 615-1698
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.016432 IL Primary

Addresses

Primary practice location

900 North Shore Dr Ste 120
Lake Bluff, IL 60044-2225

Mailing address

1272 S Patrick LN
Palatine, IL 60067-2382
Phone (224) 875-4302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.016432ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1992370415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 S PATRICK LN",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672382",
            "telephone_number": "224-875-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTH SHORE DR STE 120",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442225",
            "telephone_number": "847-615-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTER",
        "first_name": "STEPHANIE",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.016432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

Verify at the official NPI Registry.