Stephanie Barnett, MACC, CAADC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009593 Issued in PA

Practice address

2045 Westgate Dr Ste 206
Bethlehem, PA 18017-7475

Phone

(484) 275-0659

Fax

(610) 849-2026

NPI assigned

Dec 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Theodoredis Counseling LLC

  • Professional Counselor
  • Bethlehem, PA
  • NPI 1528579471
  Medicare reassignment NPD

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1093146995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DR STE 206",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177475",
            "telephone_number": "484-275-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DR STE 206",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177475",
            "telephone_number": "484-275-0659",
            "fax_number": "610-849-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "STEPHANIE",
        "credential": "MACC, CAADC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "PC009593",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernesto Ricardo Barnabas Jr.
• Hannah Barnes, DO
• Shannon Barnes, LPC
• Taylor Barnes
• Lori Anne Barnett, D.P.M.
• Tatvam Mukesh Barot, MD
• Kimberly Sue Barr, MD
• Sarr D Barr, MS, CAADC, LPC
• Alexis Briana Barrall, PA-C
• Shane Barre, DO

• Professional Counselor in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.