Healthcare Provider Details

I. General information

NPI: 1972228583
Provider Name (Legal Business Name): ALYSSA MARIE STEPP MA, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSSA MARIE SALAZAR MA, LPC

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9405 BORMET DR STE 10
MOKENA IL
60448-7400
US

IV. Provider business mailing address

9405 BORMET DR STE 10
MOKENA IL
60448-7400
US

V. Phone/Fax

Practice location:
  • Phone: 708-529-5662
  • Fax: 708-816-7285
Mailing address:
  • Phone: 708-529-5662
  • Fax: 708-816-7285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.018418
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: