Individual provider Active NPI

Alice Muriel Leonce Stevens, MS

  • Mental Health Counselor
  • Wilmington, DE
National Provider Identifier
1104469311
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
Q3-0010422 Issued in DE
Practice address
3700 Lancaster Pike Ste 305
Wilmington, DE 19805-1511
Phone
(302) 278-0026
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Q3-0010422 DE
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X 1576 DE
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Q3-0010422 DE Primary

Addresses

Primary practice location

3700 Lancaster Pike Ste 305
Wilmington, DE 19805-1511

Mailing address

3700 Lancaster Pike Ste 305
Wilmington, DE 19805-1511
Phone (302) 278-0026

Other practice location 1

2220 Porter Rd
Bear, DE 19701-2022
Phone (302) 278-0026

Other names 1

  • Alice Muriel Leonce Stevens Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20240605003693 DE Practitioner - Mental Health Counselor 1850634494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
Q3-0010422DEMDMental Health Counselor
1576DEMDPrevention Professional

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1104469311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 LANCASTER PIKE STE 305",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051511",
            "telephone_number": "302-278-0026",
            "fax_number": "302-278-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 LANCASTER PIKE STE 305",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051511",
            "telephone_number": "302-278-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Porter Rd",
            "address_purpose": "LOCATION",
            "city": "Bear",
            "state": "DE",
            "postal_code": "197012022",
            "country_code": "US",
            "telephone_number": "302-278-0026",
            "fax_number": "302-278-0047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONCE STEVENS",
        "first_name": "ALICE",
        "middle_name": "MURIEL",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "DE",
            "license": "Q3-0010422",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": "DE",
            "license": "1576",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "Q3-0010422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "LEONCE STEVENS",
            "middle_name": "MURIEL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.