Stephanie A. DO, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18 006265 Issued in NY

Practice address

1 Pinnacle PL
Suite 102
Albany, NY 12203-3496

Phone

(518) 689-0244

NPI assigned

Sep 15, 2014

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

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.

• Joseph Ippolito

  • Clinical Social Worker
  • Albany, NY
  • NPI 1720490949
  NPD (past)
• Pinnacle Behavioral Health

  • Clinical Social Worker
  • Albany, NY
  • NPI 1346467529
  NPD (past)
• Pinnacle Behavioral Health Ipa PLLC

  • Mental Health Counselor
  • Albany, NY
  • NPI 1447276720
  NPD (past)

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1083015606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 NEW SCOTLAND RD",
            "address_2": "APARTMENT #112",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599390",
            "telephone_number": "518-423-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINNACLE PL",
            "address_2": "SUITE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033496",
            "telephone_number": "518-689-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "STEPHANIE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18 006265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vadim Divilov, MD
• Divine Understanding Homecare LLC
• David J Dixon, MD
• DJ Design Studios LTD
• Dawn B Dluge-Aungst, PA, CDE
• Ashley Dobert, FNP
• Elena Dochak, MSW-LP
• Debra L. Dodd, CRNA
• Bruce Dodge Jr.
• Megan Marie Dodge, DPT

• Mental Health Counselor in Albany, NY
• Providers in Albany, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.