Individual provider Active NPI

Anna Michelle Stephens, LPCC

  • Mental Health Counselor
  • Lexington, KY
National Provider Identifier
1023584679
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
276180 Issued in KY
Practice address
870 Corporate Dr Ste 201
Lexington, KY 40503-5418
Phone
(859) 223-1000
Fax
(859) 223-1000
NPI assigned
Oct 22, 2018
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 244765 KY
Mental Health Counselor 101YM0800X 276180 KY Primary

Addresses

Primary practice location

870 Corporate Dr Ste 201
Lexington, KY 40503-5418

Mailing address

870 Corporate Dr Ste 201
Lexington, KY 40503-5418
Phone (859) 223-1000

Other practice location 1

2035 Regency Rd
Lexington, KY 40503-2333
Phone (859) 368-8953

Other identifiers 1

IdentifierTypeStateIssuer
7100660290MedicaidKY

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

LicenseStateTypeSpecialty
244765KYMDMental Health Counselor
276180KYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1023584679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CORPORATE DR STE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035418",
            "telephone_number": "859-223-1000",
            "fax_number": "859-223-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CORPORATE DR STE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035418",
            "telephone_number": "859-223-1000",
            "fax_number": "859-223-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 Regency Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032333",
            "country_code": "US",
            "telephone_number": "859-368-8953",
            "fax_number": "859-368-8953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ANNA",
        "middle_name": "MICHELLE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "244765",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "276180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100660290",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.