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Deactivated NPI 1407296395 Deactivated / Inactive NPI Male Practitioner

Kevin R Stouffer , LCPC

Counselor - Professional • Springfield, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kevin Stouffer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 25, 2013
NPI Deactivation Date September 20, 2024
Total Practice Duration ~11 Years of Practice (2013 – 2024)

Professional Overview & Biography Verified Profile Summary

Kevin Stouffer, LCPC was a registered Counselor - Professional practicing in Springfield, IL. Throughout an active medical career spanning 11 years, Kevin Stouffer provided care at the practice location at 900 CAPITAL AIRPORT DR until profile deactivation on 2024-09-20.

Practice Location & Contact Primary Location

Practice Address

900 Capital Airport Dr

Springfield, IL 627078410

Telephone 2174151739
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
192 Specialists

Practicing in Springfield, IL (9683 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.006985

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Harold Bruninga , MD

Preventive Medicine - Aerospace Medicine

NPI 1912975160

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 20, 2024

Record deactivated on September 20, 2024

NPI Profile Active June 25, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 25, 2013

Registered at 900 CAPITAL AIRPORT DR, SPRINGFIELD, IL 627078410 (Tel: 2174151739)

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Updated Business Mailing Address June 25, 2013

Registered at 900 CAPITAL AIRPORT DR, SPRINGFIELD, IL 627078410 (Tel: 2174151739)

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Provider Name / Credentials Updated June 25, 2013

Recorded as KEVIN STOUFFER, LCPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2013

Counselor (License #180.006985 in IL)

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Initial NPI Registration & Enumeration June 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407296395
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2013
Last Update: June 25, 2013
Deactivation Date: September 20, 2024

Mailing Address

900 Capital Airport Dr

Springfield, IL 627078410

Phone: 2174151739

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.