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: August 16, 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
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

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, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES

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

General Practice
89 EVERGREEN CT
DEERFIELD, IL 60015

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.

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 8 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.