Provider Demographics
NPI:1295283034
Name:THORPE, STEVEN (LCPC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:THORPE
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 HARVARD TER
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3307
Mailing Address - Country:US
Mailing Address - Phone:404-353-4840
Mailing Address - Fax:
Practice Address - Street 1:518 DAVIS ST
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4644
Practice Address - Country:US
Practice Address - Phone:404-353-4840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178012334101YP2500X
IL180012838101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional