Charles Stephens

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4308 S Grand St
Monroe, LA 71202-6322

Phone

(318) 282-2619

NPI assigned

Oct 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1023528833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 E JEFFERSON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204619",
            "telephone_number": "318-239-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026322",
            "telephone_number": "318-282-2619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "644 E Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "LA",
            "postal_code": "712204619",
            "country_code": "US",
            "telephone_number": "318-239-3862",
            "fax_number": "318-239-3867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8326 Kelwood Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708064803",
            "country_code": "US",
            "telephone_number": "888-693-4996",
            "fax_number": "225-929-9740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-06",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Staten, LCSW
• Ebony Steele
• Stephanie Harding, DDS, a Professional Dental Corporation
• Stephen M. Beene, MD, Apmc
• Carla Stephens, NP
• Mark Lane Stephens, FNP-C
• Matilda Elliott Stephens, FNP
• Sanford Gray Stephens, D.D.S.
• Bobby Lynn Stephenson, PHD
• Kiley Edwards Stephenson, AU.D., CCC-A

• Case Manager/Care Coordinator in Monroe, LA
• Providers in Monroe, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.