Mark Stein

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T0134 Issued in GA

Practice address

607 Russell Parkway Ste a
Warner Robins, GA 31088

Phone

(478) 225-9860

NPI assigned

Jan 26, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Healthqwest LLC

  • Methadone Clinic
  • Warner Robins, GA
  • NPI 1376846261
  NPD (past)
• Healthqwest LLC

  • Methadone Clinic
  • Stockbridge, GA
  • NPI 1689393183
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1043757214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 RUSSELL PKWY STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887690",
            "telephone_number": "478-225-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 RUSSELL PARKWAY STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-225-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "T0134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Stanley
• Star Orthopedics and Spine of Macon LLC.
• Heather Starr, AUD
• Staygroundeed Healing, LLC
• Tammy Stecroix
• Stella Onyekwelu, OD
• Stephanie Whitson Clinical Psychologist, LLC
• Alicia Y Stephens
• Crystal Monte Stephens
• Kennedy Stephens

• Addiction (Substance Use Disorder) Counselor in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.