Stephanie Choi, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401018624 Issued in MI

Practice address

678 Front Ave NW Ste 100
Grand Rapids, MI 49504-5323

Phone

(616) 916-3711

NPI assigned

Aug 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Stephanie Bennett Former name

Medicare fee-for-service enrollment

Enrolled in TX

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Nicole Black PHD LPC-S LCDC RPT PLLCGroup PAC ID 6901330513, 4 clinicians

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.

• Dr. Nicole Black, PHD, LPC-S, LCDC, RPT PLLC

  • Professional Counselor
  • Lubbock, TX
  • NPI 1780270173
  Medicare reassignment Care Compare group NPD
• Thethirdchair

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1376820860
  NPD (past)

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1114406097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 FRONT AVE NW STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 FRONT AVE NW STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045323",
            "telephone_number": "616-916-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "STEPHANIE",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88420",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BENNETT",
            "credential": "LPC-MHSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William S Chizmar, AA
• Ellen Cho, M.D.
• Daniel Saini Choi
• Erin K Choi, MS, PT
• Jeffrey Hyun-Kyu Choi, MD
• Anna M Chojnacki, MD
• William Chopp, MD
• Sanam S Chopra, MD
• Shelby Joanne Chorny, MS, OTR/L
• Gerard M Choryan, O.D.

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.