STACEY LYN BROWN INC.
NPI 1699357582
Counselor - Mental Health in Chicago, IL

Active since April 21, 2021
2152 W FARRAGUT AVE, CHICAGO, IL 60625(773) 459-3136 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stacey Lyn Brown Inc. NPPES

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

STACEY LYN BROWN INC. (NPI 1699357582) is a healthcare organization registered as a mental health in Chicago, Illinois and active in the NPI registry since April 2021. The organization lists Stacey Lyn Brown, Ownder, as its authorized official.

NPPES Registry Identity

NPI1699357582
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSTACEY LYN BROWN INC.
Location Address2152 W FARRAGUT AVEChicago, IL 60625-1204
Mailing Address820 Oakton St Apt 5aEvanston, IL 60202-2843 · (773) 459-3136
Organization SubpartNo
Authorized OfficialStacey Lyn BrownOwnder · (773) 459-3136
Enumeration DateApril 21, 2021
NPPES CertifiedApril 21, 2021
✔ NPI 1699357582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2152 W FARRAGUT AVE, Chicago, IL 60625

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Lyn Brown Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20211227000154Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stacey Lyn Brown Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1225448301
2152 W FARRAGUT AVE
Chicago, IL 60625
(773) 459-3136
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lyn Brown Inc.'s NPI number?

The NPI number for Stacey Lyn Brown Inc. is 1699357582. It was assigned to this organization in the NPPES registry on April 21, 2021.

Where is Stacey Lyn Brown Inc. located?

Stacey Lyn Brown Inc. is located at 2152 W Farragut Ave, Chicago, IL 60625. The listed phone number is (773) 459-3136.

What is Stacey Lyn Brown Inc.'s specialty?

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

Is Stacey Lyn Brown Inc. enrolled in Medicare?

Yes. Stacey Lyn Brown Inc. is registered in the Medicare PECOS enrollment system.

When is Stacey Lyn Brown Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Stacey Lyn Brown Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Stacey Lyn Brown Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stacey Lyn Brown Inc. was last updated on April 21, 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.