Active NPI
Kathryn Dianne Stephens, LPCC
- Professional Counselor
- Deming, NM
National Provider Identifier
1013100668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0105311
- Practice address
- 340 Solana Rd SE
Deming, NM 88030-7564 - Phone
- (575) 546-0708
- NPI assigned
- Aug 27, 2007
- Last updated
- Oct 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0105311 | NM | Primary |
Addresses
Primary practice location
340 Solana Rd SE
Deming, NM 88030-7564
Mailing address
340 Solana Rd SE
Deming, NM 88030-7564
Phone (575) 546-0708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0105311 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318032000000",
"number": "1013100668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 SOLANA RD SE",
"city": "DEMING",
"state": "NM",
"postal_code": "880307564",
"telephone_number": "575-546-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 SOLANA RD SE",
"city": "DEMING",
"state": "NM",
"postal_code": "880307564",
"telephone_number": "575-546-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "KATHRYN",
"middle_name": "DIANNE",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2011-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0105311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deming, NM
- Southwest Therapeutics LLC
- Southwest Therapists Inc (NovaCare Outpatient Rehabilitation)
- Mayra Srader, RN
- St Martin de Porres Eye Clinic PC
- Brian A Stanton, MD
- Stevens Chiropractic Center LLC
- Shannon Marie Stevens, M. S. P. T.
- Mickie Lynn Stimpson, LBSW
- Summit Healthcare LLC
- Summit Rehabilitation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.