Address: 10559 S Prospect Ave, Chicago, IL 60643-2923

STACY RENNE EPPS (NPI# 1184103525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184103525
Entity Type Individual
Gender Female
Practice Address 10559 S Prospect Ave
IL 60643-2923
Practice Telephone 7733395746
Practice Fax Number 7732383278
Mailing Address Stacy Renne Epps De Stefano
10559 South Prospect Ave
IL 60643-2923
Mailing Telephone 7733395746
Mailing Fax Number 7732383272
Enumeration Date 2018-08-07
Last Update Date 2018-08-07
Is Sole Proprietor N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 15175 IN Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
15175 IN Behavioral Health & Social Service Providers

Office Location

Street Address 10559 S PROSPECT AVE
State IL
Zip Code 60643-2923

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1679834634 Martha Estela Silva Dentist 9225 S Pleasant Ave, Chicago, IL 60643 2012-06-06
1417491671 Beverly Hills Home Services, Inc In Home Supportive Care 10601 S. Longwood Drive, Chicago, IL 60643 2016-12-07
1295324713 Miguel Angel Tapia Physical Medicine & Rehabilitation 1113 S Western Ave, Chicago, IL 60643 2021-01-11
1174042766 Travis Wade Robertson Physical Therapist 10909-11 S Western Ave, Beverly, IL 60643 2017-09-14
1245773340 Daveena Hudson-Polk Nurse's Aide 11748 South Vincennes Ave, Chicago, IL 60643 2016-11-22
1508356072 Halo Medical Professionals Sc. · Halo Medical Professionals Chiropractor - Rehabilitation 10650 S Western Ave, Chicago, IL 60643 2018-05-10
1255853172 Beverly Fowler Specialist/Technologist - Athletic Trainer 11624 S. May Street, Chicago, IL 60643 2017-07-12
1073096426 Derek Peake Physical Therapist 9465 S. Western Road, Chicago, IL 60643 2018-09-12
1811405699 Kara Eileen Noland Developmental Therapist 9327 S Hamilton Ave, Chicago, IL 60643 2018-01-16
1467082883 Juliana Frances Cunningham Developmental Therapist 10037 S Bell, Chicago, IL 60643 2020-01-24
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447820766 Nicole Glass Counselor 420 E Ohio St Apt 14c, Chicago, IL 60611-4651 2021-06-29
1093385569 Keila Pope Counselor 3708 N Ashland Ave, Chicago, IL 60613-5272 2021-06-28
1790352888 Rebecca Ebben Counselor 1616 N Damen Ave Ste 301, Chicago, IL 60647-5536 2021-06-07
1912573494 Elizabeth Quinn Davis Counselor 155 N Michigan Ave Ste 444, Chicago, IL 60601-7511 2021-06-03
1285209098 Charlene Mack Counselor 47 W Division St Ste 211, Chicago, IL 60610-2954 2021-05-24
1033793757 Traci Patterson Lcpc Cadc Pllc · Intuitive Therapy Chicago Counselor 203 N La Salle St Ste 2100, Chicago, IL 60601-1226 2021-05-09
1013590215 Falechia N Turman Counselor 5080 N Elston Ave, Chicago, IL 60630-2459 2021-05-04
1538741780 Jameelah Brown-Williams Counselor 2500 W 111th St Apt 1s, Chicago, IL 60655-1301 2021-04-27
1457937542 Jamila Ford Counselor 5425 W Van Buren St, Chicago, IL 60644-4745 2021-03-20
1124603857 Liana Ramon Counselor 1525 E 53rd St Ste 1009, Chicago, IL 60615-4547 2021-03-15
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Zip Code 60643

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.