Active NPI
Stephanie Lynn Fleming, LMHC
- Mental Health Counselor
- Tallahassee, FL
National Provider Identifier
1073819934
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH11779
- Practice address
- 1331 Airport Dr
G17
Tallahassee, FL 32304-4775 - Phone
- (850) 212-6737
- NPI assigned
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH11779 | FL | |
| Mental Health Counselor | 101YM0800X | MH11779 | FL | Primary |
| Health Psychologist | 103TH0004X |
Addresses
Primary practice location
1331 Airport Dr
G17
Tallahassee, FL 32304-4775
Mailing address
1331 Airport Dr
G17
Tallahassee, FL 32304-4775
Phone (850) 212-6737
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH11779 | FL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1073819934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 AIRPORT DR",
"address_2": "G17",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323044775",
"telephone_number": "850-212-6737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 AIRPORT DR",
"address_2": "G17",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323044775",
"telephone_number": "850-212-6737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-09",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH11779",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH11779",
"primary": true
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.