Stephanie Provis
NPI 1114711165 · Mental Health Counselor · Fox Lake, IL
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephanie Provis is a Mental Health Counselor provider in Fox Lake, IL (NPI 1114711165).
Provider details
- NPI number
- 1114711165
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-07
- Last updated
- 2025-04-07
- Certified
- 2025-04-06
Frequently asked questions
- What is Stephanie Provis's NPI number?
- Stephanie Provis's National Provider Identifier (NPI) is 1114711165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephanie Provis's specialty?
- Stephanie Provis is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Stephanie Provis located?
- Stephanie Provis's practice location on file with NPPES is 34 W Grand Ave Ste 101, Fox Lake, IL 60020-1224.
- What is Stephanie Provis's phone number?
- The practice phone number listed in the NPPES registry for Stephanie Provis is (847) 322-2975.
- Does Stephanie Provis accept Medicare?
- Stephanie Provis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephanie Provis's NPI active?
- Yes — Stephanie Provis's NPI (1114711165) is active in the NPPES registry as of the last update on 2025-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.