Stephanie P. Bathurst, MA, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LCM585 Issued in MD

Practice address

12501 Prosperity Dr Ste 310
Silver Spring, MD 20904-1699

Phone

(240) 780-8884

NPI assigned

Mar 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Psychcare Psychological Services, LLC

  • Clinical Psychologist
  • Silver Spring, MD
  • NPI 1831529767
  NPD

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1073973897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DEEP POWDER COURT",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "21163",
            "telephone_number": "215-692-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 310",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041699",
            "telephone_number": "240-780-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Deep Powder Court",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "MD",
            "postal_code": "21163",
            "country_code": "US",
            "telephone_number": "215-692-2461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6325 Woodside Ct Ste 350",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210461042",
            "country_code": "US",
            "telephone_number": "410-910-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATHURST",
        "first_name": "STEPHANIE",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "MA, LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LGM501",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordia Batchelor, DNP, APRN, FNP-BC
• Kenneth Ottop Bate
• Mekeshia D Bates, DNP, MPH, MSN, RN
• Tea Bates
• Hadia Asta Bathily I
• Rajeev Batra, M.D.
• Mary E.H. Batta, LCSW-C
• Kayla Battle
• Kristen Marie Bauer, MD
• Michael D Baum, MD

• All providers in Silver Spring, MD
• Marriage & Family Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.