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

Stacey Dinkelman

Individual provider Mental Health Counselor · NPI 1417328741

Stacey Dinkelman is a Mental Health Counselor in Centralia, Illinois. Qualified in 2009, 17 years ago. Practices with St Marys Hospital Centralia Illinois, a 121-clinician group and accepts Medicare assignment.

Years since qualifying
17
In the registry since
2015
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Practice location Address checks out

904 E Martin Luther King Dr
Centralia, IL 62801
Phone: (618) 533-1391
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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

Record details

NPI number1417328741
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 13, 2015
Last updated in NPPESOctober 13, 2015
Mailing address16271 Dog Alley Rd, Okawville, IL 62271-1529

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice St Marys Hospital Centralia Illinois — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Centralia