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

Stacey A Sanicki

Individual provider Mental Health Counselor · NPI 1811315484

Stacey A Sanicki is a Mental Health Counselor in Downers Grove, Illinois. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2014
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Practice location Address checks out

4624 Sterling Rd
Downers Grove, IL 60515-3039
Phone: (630) 802-5378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 178.008058 (IL)

Record details

NPI number1811315484
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 1, 2014
Last updated in NPPESApril 1, 2014
Mailing address4624 Sterling Rd, Downers Grove, IL 60515-3039

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Downers Grove