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STEFANI ANDERSON BS
NPI 1619455813
Counselor - Mental Health in Champaign, IL

Active since July 31, 2018PECOS EnrolledAccepts Medicare Assignment
309 W CLARK ST, CHAMPAIGN, IL 61820(217) 398-9066(217) 398-9077 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2021, Jul 31, 2018 (2 updates tracked since 2018).

About Stefani Anderson Bs NPPES

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

STEFANI ANDERSON BS (NPI 1619455813) is an individual mental health provider in Champaign, Illinois and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619455813
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEFANI ANDERSONCredential: BS
Location Address309 W CLARK STChampaign, IL 61820-4637
Mailing Address750 Broadway Ave EMattoon, IL 61938-4610
Phone(217) 398-9066
Fax(217) 398-9077
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 31, 2018
Last NPPES UpdateApril 12, 20212 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1619455813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
309 W CLARK ST, Champaign, IL 61820
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Other Names 1

Former Name (1)Stefani Martin

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

Stefani Anderson Bs 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 ID1456838986
PECOS Enrollment IDI20260127001375
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.

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.

RACHEL COOPER YUHAS LCPC
Counselor (Professional)
309 W CLARK ST
CHAMPAIGN, IL 61820
Champaign County (217) 398-9066
BROOKE GROFF
Counselor (Professional)
309 W CLARK ST
CHAMPAIGN, IL 61820
Champaign County (217) 398-9066
CAROLYN S TRUELOVE LCPC
Counselor (Professional)
309 W CLARK ST
CHAMPAIGN, IL 61820
Champaign County (217) 398-9066
EMILY JANE BALLEW LPC
Counselor (Professional)
309 W CLARK ST
CHAMPAIGN, IL 61820
Champaign County (217) 398-9066
MR. TIMOTHY CRONIN M.S., LPC
Counselor (Mental Health)
309 W CLARK ST
CHAMPAIGN, IL 61820
Champaign County (217) 398-9066
MARY M BRAGG LCSW
Social Worker (Clinical)
309 W CLARK ST
CHAMPAIGN, IL 61820
Champaign County (217) 398-9066
ANALISE ATCHISON LSW
Social Worker (Clinical)
309 W CLARK ST
CHAMPAIGN, IL 61820
Champaign County (217) 398-9066
MARIANA RICE
Nurse Practitioner
309 W CLARK ST
CHAMPAIGN, IL 61820
Champaign County (217) 398-9066

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 Stefani Anderson's NPI number?

The NPI number for Stefani Anderson is 1619455813. It was assigned to this individual provider in the NPPES registry on July 31, 2018. The provider is also known as Stefani Martin.

Where is Stefani Anderson located?

Stefani Anderson practices at 309 W Clark St, Champaign, IL 61820. The listed phone number is (217) 398-9066.

What is Stefani Anderson's specialty?

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

Is Stefani Anderson enrolled in Medicare?

Yes. Stefani Anderson 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.

When was this NPI record last updated?

The NPPES record for Stefani Anderson was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.