Stephanie Ann McCormick, MA, LPCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

915 Lake Hollow Dr
Little Elm, TX 75068-8409

Phone

(469) 693-0305

NPI assigned

Jun 10, 2009

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 2, 2024 through Jan 2, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avenues to Change

  • Mental Health Counselor
  • Little Elm, TX
  • NPI 1912239583
  NPD (past) Authorized official

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1073749586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 LAKE HOLLOW DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750688409",
            "telephone_number": "469-693-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 LAKE HOLLOW DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750688409",
            "telephone_number": "469-693-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "MA, LPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202373101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Mercy Masih, MS
• Lynnette Marie Mason
• Ziad Masoud, DDS, MDS
• Conor Alexander May, PT
• Milford Maynard, OD
• Carelgean McFarland
• Brianna Lavonne McMillin
• Medexpress Urgent Care Texas, P.a. (MedExpress Urgent Care - Little Elm, E Eldorado Pkwy)
• Medivance Care LLC
• Medivora Billing LLC

• Mental Health Counselor in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.