Healthcare Provider Details

I. General information

NPI: 1245956275
Provider Name (Legal Business Name): HAYLEY STAMPER MA, NCC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2022
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20941 W ARDMORE CIR
PLAINFIELD IL
60544-7316
US

IV. Provider business mailing address

20941 W ARDMORE CIR
PLAINFIELD IL
60544-7316
US

V. Phone/Fax

Practice location:
  • Phone: 630-862-5894
  • Fax:
Mailing address:
  • Phone: 630-862-5894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.016770
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.015946
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: