MRS. STACIE MICHELLE YOUNG LPC
NPI 1912636929
Counselor - Professional in Rockford, IL
About Mrs. Stacie Michelle Young Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACIE MICHELLE YOUNG LPC (NPI 1912636929) is an individual professional provider in Rockford, Illinois, licensed in Illinois (178.017411) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Stacie Michelle Young Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stacie Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61108
- Reassigned Medicare billing, Illinois enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacie Young's NPI number?
The NPI number for Stacie Young is 1912636929. It was assigned to this individual provider in the NPPES registry on June 6, 2022.
Where is Stacie Young located?
Stacie Young practices at 4835 Manhattan Dr, Rockford, IL 61108. The listed phone number is (815) 520-2303.
What is Stacie Young's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Stacie Young enrolled in Medicare?
Yes. Stacie Young is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stacie Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Young reassigns Medicare benefits to Willow Creek Counseling LLC (Rockford, IL). The 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 Stacie Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacie Young accept?
Health plans from Ambetter Health, Oscar Health and Quartz list Stacie Young 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.
When was this NPI record last updated?
The NPPES record for Stacie Young was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.
# Mrs. Stacie Michelle Young, LPC · NPI 1912636929
Professional provider in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since June 6, 2022.
## Identity
- **NPI:** 1912636929 (Entity type: Individual)
- **Enumerated:** June 6, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178.017411 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4835 MANHATTAN DR, Rockford, IL 61108-2265
- **Phone:** (815) 520-2303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Willow Creek Counseling LLC (NPI 1144941394, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912636929) · Data from the CMS NPPES public registry.