STEPHANIE FOWLER (NPI# 1770954877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770954877 |
| Entity Type | Individual |
| Full Name | STEPHANIE FOWLER |
| Credential | LCPC, CADC |
| Practice Address |
4256 N Ravenswood Ave Suite 213 Chicago IL 60613-1114 |
| Mailing Address |
4255 N Honore St Suite 213 Chicago IL 60613-4572 |
| Practice Telephone | 7736694975 |
| Practice Fax Number | 8446693667 |
| Mailing Telephone | 7736694975 |
| Mailing Fax Number | 8446693667 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2017-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
29760 | IL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180.010215 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922493659 | Stephanie Roxie Fowler | Student in an Organized Health Care Education/Training Program | 3701 Carlyle Close, Apt 1050, Mobile, AL 36609-1873 | 2015-03-31 |
| 1972827947 | Stephanie Jean Fowler | Occupational Therapist | 760 San Ramon Valley Blvd Ste 100, Danville, CA 94526-4057 | 2010-03-19 |
| 1043458292 | Stephanie Fowler | Speech-Language Pathologist | 11634 Summer Stone Dr, South Jordan, UT 84095-8091 | 2009-01-27 |
| 1104447556 | Stephanie Fowler | Registered Nurse | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2020-04-27 |
| 1396371134 | Stephanie Danielle Fowler | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-03-12 |
| 1790258390 | Stephanie Ryan Fowler | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2019-01-07 |
| 1396246260 | Stephanie Lynn Fowler | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2018-02-26 |
| 1699275628 | Stephanie Fowler | Case Manager/Care Coordinator | 2627 Crystal Ave, Findlay, OH 45840-4459 | 2018-02-16 |
| 1063956126 | Stephanie Fowler | Licensed Practical Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2016-12-08 |
| 1588952543 | Stephanie Fowler | Physical Therapist | 1600 John Rolfe Pkwy, Richmond, VA 23238-8110 | 2011-07-12 |
| Street Address |
4256 N RAVENSWOOD AVE SUITE 213 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184720195 | Dennis Pomerleau | Social Worker | 4256 N Ravenswood Ave, Suite 311, Chicago, IL 60613-1110 | 2006-09-16 |
| 1508368390 | William Robert Bastian | Chiropractor | 4256 N Ravenswood Ave, Chicago, IL 60613-1114 | 2018-03-07 |
| 1811440068 | Elizabeth Mcnamara | Specialist | 4256 N Ravenswood Ave, Suite 216, Chicago, IL 60613-1114 | 2016-07-24 |
| 1265896823 | Life Transitions Counseling | Social Worker | 4256 N Ravenswood Ave, Suite 312, Chicago, IL 60613-1114 | 2016-04-11 |
| 1700247152 | Laura Cooper | Social Worker | 4256 N Ravenswood Ave, Suite 307, Chicago, IL 60613-1114 | 2016-03-13 |
| 1477925956 | Julia Noobler | Social Worker | 4256 N Ravenswood Ave, Suite 212, Chicago, IL 60613-1114 | 2015-10-23 |
| 1184017394 | Seth Solway | Psychologist | 4256 N Ravenswood Ave, Ste 211, Chicago, IL 60613-1114 | 2015-03-12 |
| 1194116731 | Priscilla Kang Lcsw LLC | Social Worker | 4256 N Ravenswood Ave, Suite 212, Chicago, IL 60613-1114 | 2015-02-17 |
| 1306237870 | Tatiana Jaramillo | Nurse Practitioner | 4256 N Ravenswood Ave, Chicago, IL 60613-1114 | 2015-02-05 |
| 1730579533 | Kelly Grace Arteaga | Psychologist | 4256 N Ravenswood Ave, Ste 302, Chicago, IL 60613-1114 | 2015-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1477151942 | Mansukh Sandhu | Counselor | 8765 W Higgins Rd Ste 450, Chicago, IL 60631-4172 | 2020-10-15 |
| 1881291920 | Freddy Reyes | Counselor | 931 W Leland Ave Apt 405, Chicago, IL 60640-6611 | 2020-10-01 |
| 1508463704 | Tynisha Jointer | Counselor | 7710 S Saint Lawrence Ave, Chicago, IL 60619-2925 | 2020-10-01 |
| 1851908206 | Manqual Chambers | Counselor | 2801 S King Dr, Chicago, IL 60616-2949 | 2020-09-29 |
| 1184231672 | Francesca Cottone | Counselor | 1616 N Nordica Ave, Chicago, IL 60707-4317 | 2020-09-28 |
| 1952916322 | Elle Skelton | Counselor | 2219 N Seeley Ave Apt 3f, Chicago, IL 60647-3363 | 2020-09-13 |
| 1437764305 | Donita M Lester | Counselor | 7022 S South Shore Dr Apt 214, Chicago, IL 60649-2229 | 2020-09-09 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on STEPHANIE FOWLER.
| 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.