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STACEY A SANICKI
NPI 1811315484
Counselor - Mental Health in Downers Grove, IL

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
4624 STERLING RD, DOWNERS GROVE, IL 60515(630) 802-5378 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey A Sanicki NPPES

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

STACEY A SANICKI (NPI 1811315484) is an individual mental health provider in Downers Grove, Illinois, licensed in Illinois (178.008058) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1811315484
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACEY A SANICKI
Location Address4624 STERLING RDDowners Grove, IL 60515-3039
Mailing Address4624 Sterling RdDowners Grove, IL 60515-3039 · (630) 802-5378
Phone(630) 802-5378
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 1, 2014
✔ NPI 1811315484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.008058
4624 STERLING RD, Downers Grove, IL 60515
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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 A Sanicki 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 ID8729560206
PECOS Enrollment IDI20260304001680
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.

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 Sanicki's NPI number?

The NPI number for Stacey Sanicki is 1811315484. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Stacey Sanicki located?

Stacey Sanicki practices at 4624 Sterling Rd, Downers Grove, IL 60515. The listed phone number is (630) 802-5378.

What is Stacey Sanicki's specialty?

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

Is Stacey Sanicki enrolled in Medicare?

Yes. Stacey Sanicki 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 Stacey Sanicki was last updated on April 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.