STACEY MARIE BONTZ LCPC
NPI 1982565818
Counselor - Professional in Dixon, IL
- Individual
- Female
- Counselor
- Professional
About STACEY BONTZ
This page provides the complete NPI Profile along with additional information for Stacey Bontz, a provider established in Dixon, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1982565818 assigned on November 2025. The practitioner's primary taxonomy code is 101YP2500X with license number 180.017686 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1982565818 Verify this NPI
- Provider Name
- STACEY MARIE BONTZ LCPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 213 W 1ST ST DIXON, IL 61021
- Location Phone
- (815) 677-9020
- Mailing Address
- 213 W 1ST ST DIXON, IL 61021
- Mailing Phone
- (815) 677-9020
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-20-2025
- Last Update Date
- 11-20-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180.017686
- License State
- IL
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982565818, enumerated as an "individual" on November 20, 2025.
The provider is located at 213 W 1ST ST DIXON, IL 61021 and the phone number is (815) 677-9020.
Counselor with taxonomy code 101YP2500X and a focus in Professional.