Provider Demographics
NPI:1558668681
Name:SCHROEPFER, STACY KRISTEN (MS, LPC, LCPC)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:KRISTEN
Last Name:SCHROEPFER
Suffix:
Gender:F
Credentials:MS, LPC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5386 WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:ROSCOE
Mailing Address - State:IL
Mailing Address - Zip Code:61073-7320
Mailing Address - Country:US
Mailing Address - Phone:815-904-2119
Mailing Address - Fax:
Practice Address - Street 1:5386 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:ROSCOE
Practice Address - State:IL
Practice Address - Zip Code:61073-7320
Practice Address - Country:US
Practice Address - Phone:815-904-2119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-25
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6132-125101YM0800X
IL180.010567101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health