Active NPI
Stephanie M Green, LPC
- Counselor
- Virginia Beach, VA
National Provider Identifier
1053949479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0704010549
- Practice address
- 101 N Lynnhaven Rd Ste 100
Virginia Beach, VA 23452-7523 - Phone
- (757) 264-9957
- Fax
- (757) 963-0444
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0704010549 | VA | Primary |
Addresses
Primary practice location
101 N Lynnhaven Rd Ste 100
Virginia Beach, VA 23452-7523
Mailing address
101 N Lynnhaven Rd Ste 100
Virginia Beach, VA 23452-7523
Phone (757) 264-9957
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0704010549 | VA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1053949479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N LYNNHAVEN RD STE 100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527523",
"telephone_number": "757-264-9957",
"fax_number": "757-963-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N LYNNHAVEN RD STE 100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527523",
"telephone_number": "757-264-9957",
"fax_number": "757-963-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "STEPHANIE",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0704010549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.