STACEY DINKELMAN
NPI 1417328741
Counselor - Mental Health in Centralia, IL

Active since October 13, 2015PECOS EnrolledAccepts Medicare Assignment
904 E MARTIN LUTHER KING DR., CENTRALIA, IL 62801(618) 533-1391 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Dinkelman NPPES

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

STACEY DINKELMAN (NPI 1417328741) is an individual mental health provider in Centralia, Illinois and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1417328741
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACEY DINKELMAN
Location Address904 E MARTIN LUTHER KING DR.Centralia, IL 62801
Mailing Address16271 Dog Alley RdOkawville, IL 62271-1529
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 13, 2015
NPI 1417328741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
904 E MARTIN LUTHER KING DR., Centralia, IL 62801

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacey Dinkelman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315477379
PECOS Enrollment IDI20250206001845
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Other Providers at the Same Location NPPES

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

Counselor
904 E MARTIN LUTHER KING DR.
CENTRALIA, IL 62801

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 Stacey Dinkelman's NPI number?

The NPI number for Stacey Dinkelman is 1417328741. It was assigned to this individual provider in the NPPES registry on October 13, 2015.

Where is Stacey Dinkelman located?

Stacey Dinkelman practices at 904 E Martin Luther King Dr., Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Stacey Dinkelman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stacey Dinkelman enrolled in Medicare?

Yes. Stacey Dinkelman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacey Dinkelman accept?

Health plans from Providence Health Plan and UnitedHealthcare list Stacey Dinkelman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stacey Dinkelman affiliated with any hospitals?

According to CMS data, Stacey Dinkelman is affiliated with Ssm Health St Mary's Hospital -Centralia.

When was this NPI record last updated?

The NPPES record for Stacey Dinkelman was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.