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MS. STACY R DIERKS BA, CADC
NPI 1104185107
Counselor - Addiction (Substance Use Disorder) in Granite City, IL

Active since May 10, 2012
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040(618) 877-4420 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Stacy R Dierks Ba, Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STACY R DIERKS BA, CADC (NPI 1104185107) is an individual addiction (substance use disorder) provider in Granite City, Illinois and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1104185107
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. STACY R DIERKSCredential: BA, CADC
Location Address50 NORTHGATE INDUSTRIAL DRGranite City, IL 62040-6805
Mailing Address50 Northgate Industrial DrGranite City, IL 62040-6805 · (618) 877-4420
Phone(618) 877-4420
Sole ProprietorNo
Enumeration DateMay 10, 2012
✔ NPI 1104185107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
50 NORTHGATE INDUSTRIAL DR, Granite City, IL 62040
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTLE KAPP M.A.
Counselor (Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
JILLIAN MCCAMMACK LPC
Counselor
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
MR. JAMES AARON SHULTZ
Counselor (Addiction (Substance Use Disorder))
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
MS. PATRICIA ANN NORTHCUTT LCSW
Social Worker (Clinical)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
DR. JAIME ANN CAMPBELL DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 512-1919
LAINIE JOY BARRON
Counselor (Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
JULIENNE CAROL SZLUFIK APN
Nurse Practitioner (Psychiatric/Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
ROBYN WENDT
Nurse Practitioner (Psychiatric/Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Dierks's NPI number?

The NPI number for Stacy Dierks is 1104185107. It was assigned to this individual provider in the NPPES registry on May 10, 2012.

Where is Stacy Dierks located?

Stacy Dierks practices at 50 Northgate Industrial Dr, Granite City, IL 62040. The listed phone number is (618) 877-4420.

What is Stacy Dierks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stacy Dierks was last updated on May 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.