STEPHANIE YATES LCPC NPI 1003319781

NPI Information

NPI: 1003319781
Provider Name: STEPHANIE YATES, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
433 PHELPS AVE STE 2
ROCKFORD, IL
ZIP 61108
Phone: (815) 200-7640
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Stephanie Yates, LCPC is a professional counselor in Rockford, IL. Stephanie Yates, LCPC NPI is 1003319781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

433 PHELPS AVE STE 2
ROCKFORD, IL
ZIP 61108-442
Phone: (815) 200-7640

The enumeration date for this NPI number is 3/9/2018 and was last updated on 7/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	18457-130	WISCONSIN	No
2	101YP2500X	Counselor	Professional	178.013882	ILLINOIS	Yes
3	101YP2500X	Counselor	Professional	3859-226	WISCONSIN	No
4	101YP2500X	Counselor	Professional	180.013193	ILLINOIS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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