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STEPHANIE RICEDORF
NPI 1922962273
Counselor - Mental Health in Deerfield, IL

Active since December 11, 2025PECOS Enrolled
89 EVERGREEN CT, DEERFIELD, IL 60015(847) 826-4119 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephanie Ricedorf NPPES

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

STEPHANIE RICEDORF (NPI 1922962273) is an individual mental health provider in Deerfield, Illinois and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922962273
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE RICEDORF
Location Address89 EVERGREEN CTDeerfield, IL 60015-5066
Mailing Address29 Amy DrOswego, IL 60543-9707
Phone(847) 826-4119
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1922962273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
89 EVERGREEN CT, Deerfield, IL 60015
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Ricedorf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385110873
PECOS Enrollment IDI20260422000048
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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Ricedorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anchor Health Counseling LLC
Same address
General Practice
89 EVERGREEN CT
Deerfield, IL 60015
  • Reassigned Medicare billing, Illinois enrollment
  • 17 clinicians in this Medicare group
NPI 1760296560 (847) 826-4119

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 2

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

PIMAA MINTAH LPC
Counselor (Professional)
89 EVERGREEN CT
DEERFIELD, IL 60015
Lake County (312) 471-9558
ANCHOR HEALTH COUNSELING LLC
General Practice
89 EVERGREEN CT
DEERFIELD, IL 60015
Lake County (847) 826-4119

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 Stephanie Ricedorf's NPI number?

The NPI number for Stephanie Ricedorf is 1922962273. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Stephanie Ricedorf located?

Stephanie Ricedorf practices at 89 Evergreen Ct, Deerfield, IL 60015. The listed phone number is (847) 826-4119.

What is Stephanie Ricedorf's specialty?

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

Is Stephanie Ricedorf enrolled in Medicare?

Yes. Stephanie Ricedorf is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Ricedorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Ricedorf reassigns Medicare benefits to Anchor Health Counseling LLC (Deerfield, 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 Stephanie Ricedorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Ricedorf was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.