Individual provider Active NPI

Lorraine Ann Stephenson, DNP, ANP-BC, PMHNP

  • Adult Health Nurse Practitioner
  • Livingston, NJ
National Provider Identifier
1114205275
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305925 Issued in NY
Practice address
290 S Livingston Ave Ste 1
Livingston, NJ 07039-3986
Phone
(862) 223-8449
Fax
(866) 755-9171
NPI assigned
Jul 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00416200 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F407063-01 NY
Adult Health Nurse Practitioner 363LA2200X SP028849 PA
Adult Health Nurse Practitioner 363LA2200X F305925 NY Primary

Addresses

Primary practice location

290 S Livingston Ave Ste 1
Livingston, NJ 07039-3986

Mailing address

290 S Livingston Ave Ste 1
Suite 1
Livingston, NJ 07039-3986
Phone (862) 223-8449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160801000099 NJ Practitioner - Nurse Practitioner 8628209301 Reassigns benefits to 3 organizations
I20180604001059 NY Practitioner - Nurse Practitioner 8628209301 Reassigns benefits to 3 organizations
I20251215000978 PA Practitioner - Nurse Practitioner 8628209301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Counseling Consulting and Human Services LLCGroup PAC ID 3072665462, 14 clinicians

Practice addresses (Care Compare)

1851 W End Ave
New Beginnings
Pottsville, PA 17901-2050
Phone (570) 622-9101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
305925NYMDLicensed Practical Nurse
26NJ00416200NJMDAdult Health Nurse Practitioner
F305925NYMDAdult Health Nurse Practitioner
SP028849PAMDAdult Health Nurse Practitioner
F407063-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Jun 23, 2018 Accepting new patients
Lost Souls Recovery, LLC CurrentSince Jan 12, 2023 Accepting new patients
The Floating Hospital Inc. CurrentSince Jan 19, 2022 Accepting new patients
Ironbound Community Health Center Inc CurrentSince Jul 1, 2025 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince May 1, 2023 Accepting new patients
Lloyd Seymour Health Services, LLC Adult Health CurrentSince Nov 22, 2020 Accepting new patients
The Floating Hospital Inc. Current Accepting new patients
The Floating Hospital Inc. CurrentSince Jan 19, 2022 Accepting new patients
Newark Community Health Centers, Inc CurrentSince Aug 1, 2017 Accepting new patients
Professional Counseling Consulting & Human Services LLC CurrentSince Dec 1, 2025 Accepting new patients
Ironbound Community Health Center Inc CurrentSince Jul 1, 2025 Accepting new patients
LS NP in Psychiatry and Adult Health PC CurrentSince Dec 8, 2025 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jun 23, 2018 Accepting new patients
Newark Community Health Centers, Inc. CurrentSince Aug 1, 2017 Accepting new patients
American Medical Today P.C. PastSince Mar 11, 2025 Accepting new patients

Locations

130 White Horse Pike
Clementon, NJ 08021
Phone (570) 622-9101

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

290 S Livingston Ave
Ste 1
Livingston, NJ 07039
Phone (862) 223-8449

201 S Livingston Ave
Ste 2E
Livingston, NJ 07039
Phone (973) 462-6435

788 Mount Prospect Ave
Fl 2
Newark, NJ 07104
Phone (973) 433-9773

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

6010 Bay Pkwy
Ste 903
Brooklyn, NY 11204
Phone (646) 699-1322

6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100

6010 Bay Pkwy
Fl 6
Brooklyn, NY 11204
Phone (718) 236-7520

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

481 Main St
Ste 503
New Rochelle, NY 10801
Phone (570) 622-9101

1851 W End Ave
Pottsville, PA 17901
Phone (570) 622-9101

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEGHAA/Endpoint/JEGHAA

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1311379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1114205275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S LIVINGSTON AVE STE 1",
            "address_2": "SUITE 1",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393986",
            "telephone_number": "862-223-8449",
            "fax_number": "866-755-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S LIVINGSTON AVE STE 1",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393986",
            "telephone_number": "862-223-8449",
            "fax_number": "866-755-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "LORRAINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DNP, ANP-BC, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-23",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00416200",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F407063-01",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP028849",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.