Stephanie Anderson, LPC-MHSP
Individual provider Active NPI Professional Counselor · Lebanon, TN
NPI 1013434794 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1013434794
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5899 (TN)
- Practice address
- 206 Hickory Pointe Dr
Lebanon, TN 37087-5009 - Phone
- (937) 554-6730
- NPI assigned
- Aug 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cedar Recovery Center of Middle Tennessee, LLC
Practice addresses (Care Compare)
2839 Hwy 231 N
Suite 101
Shelbyville, TN 37160-7448
Phone (931) 488-4014
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240612003522 | TN | Practitioner - Mental Health Counselor | 7911449343 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDCIII131054 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| C2103159 | OH | MD | Professional Counselor |
| 1526 | TN | MD | Chiropractor |
| 5899 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Recovery of Middle Tennessee, LLC | Current |
Accepting new patients | |
| Cedar Recovery Center of Middle Tennessee, LLC | Professional | Current |
Accepting new patients |
Locations
2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110
5000 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (615) 208-9549
2839 Highway 231 N
Ste 101
Shelbyville, TN 37160
Phone (931) 488-4014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCIII131054 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1526 | TN | |
| Professional Counselor | 101YP2500X | C2103159 | OH | |
| Professional Counselor | 101YP2500X | 5899 | TN | Yes |
Addresses
Primary practice location
206 Hickory Pointe Dr
Lebanon, TN 37087-5009
Mailing address
206 Hickory Pointe Dr
Lebanon, TN 37087-5009
Phone (937) 554-6730
Other providers in Lebanon, TN
- American Behavioral Consultants
- American National Home Health Inc
- Ashley Amos
- Blake Anders
- Kenneth W. Anderson
- Anesthesia Services of Middle Tennessee, PLLC
- Anesthesia Services of Wilson County PLLC
- Alexa Rae Anglin
- Anycare LLC
- Apple Independence Mobility LLC
All providers in Lebanon, TN · Professional Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.