Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Stacie Michelle Young, LPC

Individual provider Professional Counselor · NPI 1912636929

Mrs. Stacie Michelle Young, LPC is a Mental Health Counselor in Rockford, Illinois. Qualified in 2020, 6 years ago. Practices with Willow Creek Counseling LLC, an 8-clinician group and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4835 Manhattan Dr
Rockford, IL 61108-2265
Phone: (815) 520-2303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178.017411 (IL)

Record details

NPI number1912636929
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 6, 2022
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Willow Creek Counseling Llc — 8 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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