Active NPI
Stella M Hebble, LCDP LCDCS
- Addiction (Substance Use Disorder) Counselor
- Warwick, RI
National Provider Identifier
1083718787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDCS00182
- Practice address
- 300 Centerville Rd
Suite 104
Warwick, RI 02886 - Phone
- (401) 732-5656
- Fax
- (401) 738-8634
- NPI assigned
- Sep 12, 2006
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCS00182 | RI | Primary |
Addresses
Primary practice location
300 Centerville Rd
Suite 104
Warwick, RI 02886
Mailing address
380 Middle Highway
Barrington, RI 02806
Phone (401) 247-4872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6242626 | Other | RI | UBH |
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 |
|---|---|---|---|
| LCDCS00182 | RI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083718787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 MIDDLE HIGHWAY",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "02806",
"telephone_number": "401-247-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CENTERVILLE RD",
"address_2": "SUITE 104",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-732-5656",
"fax_number": "401-738-8634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBBLE",
"first_name": "STELLA",
"middle_name": "M",
"credential": "LCDP LCDCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "LCDCS00182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6242626",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.