Active NPI
Stephany Ann Norris, LPC
- Professional Counselor
- Valdosta, GA
National Provider Identifier
1104134683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006116
- Practice address
- 2310 N Patterson St
Suite G
Valdosta, GA 31602-2568 - Phone
- (229) 244-9688
- Fax
- (229) 244-5354
- NPI assigned
- Sep 18, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC006116 | GA | Primary |
Addresses
Primary practice location
2310 N Patterson St
Suite G
Valdosta, GA 31602-2568
Mailing address
2310 N Patterson St
Suite G
Valdosta, GA 31602-2568
Phone (229) 244-9688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240111000757 | GA | Practitioner - Mental Health Counselor | 6002267382 | Practice locations: Valdosta, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1817 Green Cir
Valdosta, GA 31602-2885
Phone (229) 244-9688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006116 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284768000000",
"number": "1104134683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 N PATTERSON ST",
"address_2": "SUITE G",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022568",
"telephone_number": "229-244-9688",
"fax_number": "229-244-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 N PATTERSON ST",
"address_2": "SUITE G",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022568",
"telephone_number": "229-244-9688",
"fax_number": "229-244-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "STEPHANY",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-18",
"last_updated": "2010-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2010; 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.