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MRS. STACIE MICHELLE YOUNG LPC
NPI 1912636929
Counselor - Professional in Rockford, IL

Active since June 06, 2022PECOS Enrolled
4835 MANHATTAN DR, ROCKFORD, IL 61108(815) 520-2303 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1912636929
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. STACIE MICHELLE YOUNGCredential: LPC
Location Address4835 MANHATTAN DRRockford, IL 61108-2265
Mailing Address2968 Be Ver Vue RdBelvidere, IL 61008-8081 · (847) 917-2031
Phone(815) 520-2303
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 6, 2022
NPPES CertifiedJune 6, 2022
✔ NPI 1912636929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.017411
4835 MANHATTAN DR, Rockford, IL 61108
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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 (PECOS)

Mrs. Stacie Michelle Young Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092162149
PECOS Enrollment IDI20240312000953
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAITH CONWAY
Social Worker
4835 MANHATTAN DR
ROCKFORD, IL 61108
Winnebago County (815) 520-2303
KIMBERLY JOZWIAK
Counselor (Professional)
4835 MANHATTAN DR
ROCKFORD, IL 61108
Winnebago County (815) 520-2303
URVI PATEL LMSW
Social Worker
4835 MANHATTAN DR
ROCKFORD, IL 61108
Winnebago County (815) 520-2303
LUCRUMARE INC
In Home Supportive Care
4835 MANHATTAN DR
ROCKFORD, IL 61108
Winnebago County (815) 229-9100

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.

When was this NPI record last updated?

The NPPES record for Stacie Young was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.