Michael L Stevens, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW-1279 Issued in ID

Practice address

109 N Arthur Ave Ste 203
Pocatello, ID 83204-3105

Phone

(208) 234-4673

Fax

(208) 234-4677

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hope Tree IncGroup PAC ID 3779710876, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hope Tree Inc

  • Community/Behavioral Health Agency
  • Pocatello, ID
  • NPI 1598976045
  Medicare reassignment Care Compare group
• Center Counseling PSR

  • Community/Behavioral Health Agency
  • Chubbuck, ID
  • NPI 1841417565
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1013013010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N ARTHUR AVE STE 203",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043105",
            "telephone_number": "208-234-4673",
            "fax_number": "208-234-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N ARTHUR AVE STE 203",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043105",
            "telephone_number": "208-234-4673",
            "fax_number": "208-234-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCSW-1279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807197600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Stephenson, D.M.D.
• Stepping Stones Counseling and Mediation LLC
• Stepping Stones Counseling and Mediation LLC
• Jessica Sterling, CADC
• Jordan Rose Stevens, NP
• Azure Kate Stevenson
• Sharhonda Chantell Stevenson, MA, LPC, NCC ,MDFT
• Ryan Stewart, PT
• Still Waters, Incorporated
• Bill Leroy Stinger Jr., LCSW

• Mental Health Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.