Individual provider Active NPI

Stephanie L McNamara, APRN,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • London, KY
National Provider Identifier
1023945904
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4057037 Issued in KY
Practice address
125 S Laurel Rd Unit 1
London, KY 40744-8017
Phone
(606) 770-5086
Fax
(863) 456-1301
NPI assigned
May 6, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4057037 KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0041455 OH

Addresses

Primary practice location

125 S Laurel Rd Unit 1
London, KY 40744-8017

Mailing address

15500 Beechtree LN
Centerburg, OH 43011-9550
Phone (614) 370-2585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604000992 KY Practitioner - Nurse Practitioner 6709357379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 S Laurel Rd
Unit 1
London, KY 40744-8017

15500 Beechtree LN
Centerburg, OH 43011-9550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4057037KYMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.0041455OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartstrings Mental Health PLLC Psychiatric/Mental Health CurrentSince May 20, 2026 Accepting new patients

Locations

125 S Laurel Rd
Unit 1
London, KY 40744
Phone (606) 401-0751

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1023945904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 BEECHTREE LN",
            "city": "CENTERBURG",
            "state": "OH",
            "postal_code": "430119550",
            "telephone_number": "614-370-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S LAUREL RD UNIT 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448017",
            "telephone_number": "606-770-5086",
            "fax_number": "863-456-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "APRN,PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4057037",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0041455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.