BLAZING TRAILS COUNSELING, PLLC
NPI 1770101784
Counselor - Mental Health in Tinley Park, IL

Active since July 07, 2020
15941 HARLEM AVE # 140, TINLEY PARK, IL 60477(779) 435-4271 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 27, 2020, Jul 7, 2020 (2 updates tracked since 2020).

About Blazing Trails Counseling, Pllc NPPES

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

BLAZING TRAILS COUNSELING, PLLC (NPI 1770101784) is a healthcare organization registered as a mental health in Tinley Park, Illinois and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Mokena and lists Deanna L Stacy, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1770101784
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBLAZING TRAILS COUNSELING, PLLC
Location Address15941 HARLEM AVE # 140Tinley Park, IL 60477-1609
Mailing Address15941 Harlem Ave # 140Tinley Park, IL 60477-1609 · (779) 435-4271
Organization SubpartNo
Authorized OfficialDeanna L StacyOwner/therapist · (779) 435-4271
Enumeration DateJuly 7, 2020
Last NPPES UpdateJuly 27, 20202 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
NPI 1770101784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
15941 HARLEM AVE # 140, Tinley Park, IL 60477

Secondary Practice Location 1

Location 19435 Bormet Dr Ste 5Mokena, IL 60448-7401 · Phone (779) 435-4271

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

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 (Mental Health)
15941 HARLEM AVE # 140
TINLEY PARK, IL 60477

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 Blazing Trails Counseling, PLLC's NPI number?

The NPI number for Blazing Trails Counseling, PLLC is 1770101784. It was assigned to this organization in the NPPES registry on July 7, 2020.

Where is Blazing Trails Counseling, PLLC located?

Blazing Trails Counseling, PLLC is located at 15941 Harlem Ave # 140, Tinley Park, IL 60477. The listed phone number is (779) 435-4271.

What is Blazing Trails Counseling, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Blazing Trails Counseling, PLLC was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.