Individual provider Active NPI

Stephanie Ann Sternes, LCPC, LAMFT, NCC

  • Professional Counselor
  • Emmett, ID
National Provider Identifier
1003368358
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-7165 Issued in ID
Practice address
1016 E Locust St
Emmett, ID 83617-2776
Phone
(208) 918-0054
Fax
(844) 696-1471
NPI assigned
Nov 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC-7165 ID
Professional Counselor 101YP2500X SUPERVISOR ID
Marriage & Family Therapist 106H00000X LAMFT-6458 ID
Community Health Worker 172V00000X LCPC-7165 ID
Professional Counselor 101YP2500X LCPC-7165 ID Primary

Addresses

Primary practice location

1016 E Locust St
Emmett, ID 83617-2776

Mailing address

8611 Dewey Rd
Emmett, ID 83617-8855
Phone (208) 369-3724

Other practice location 1

4444 W Taft St
Boise, ID 83703-4148
Phone (208) 501-2181

Other identifiers 3

IdentifierTypeStateIssuer
1316373301OtherIDTHE COMPANY I WORK FORS NPI IS 1316373301
463685355OtherTHE TAX ID FOR THE COMPANY I WORK FOR IS 463685355
1568933521OtherIDA COMPANY THAT I WORK FORR

Other names 1

  • Stephanie Ann Hundley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 18, 2024 through Jan 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-7165IDMDProfessional Counselor
SUPERVISORIDMDProfessional Counselor
LAMFT-6458IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Counseling Connections Current Accepting new patients

Locations

1016 E Locust St
Emmett, ID 83617
Phone (208) 365-3584

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1003368358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 DEWEY RD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836178855",
            "telephone_number": "208-369-3724",
            "fax_number": "844-696-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E LOCUST ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172776",
            "telephone_number": "208-918-0054",
            "fax_number": "844-696-1471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4444 W Taft St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837034148",
            "country_code": "US",
            "telephone_number": "208-501-2181",
            "fax_number": "855-854-9075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERNES",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "LCPC, LAMFT, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-7165",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "SUPERVISOR",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LAMFT-6458",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "ID",
            "license": "LCPC-7165",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-7165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE COMPANY I WORK FORS NPI IS 1316373301",
            "identifier": "1316373301",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE TAX ID FOR THE COMPANY I WORK FOR IS 463685355",
            "identifier": "463685355",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A COMPANY THAT I WORK FORR",
            "identifier": "1568933521",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HUNDLEY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Emmett, ID

Sources for this page

Verify at the official NPI Registry.