Stefanie Magalong, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC2145 Issued in CA

Practice address

2363 Boulevard Cir
Suite 12a
Walnut Creek, CA 94595-1177

Phone

(203) 306-9294

NPI assigned

Oct 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stefanie Neidermann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445126400000",
    "number": "1124499025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 CREEKSIDE DR",
            "address_2": "APT. 414",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965683",
            "telephone_number": "203-306-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 BOULEVARD CIR",
            "address_2": "SUITE 12A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951177",
            "telephone_number": "203-306-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGALONG",
        "first_name": "STEFANIE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-18",
        "last_updated": "2015-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC2145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "NEIDERMANN",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Analiyah Maestas
• Astra Maestas, PSY.D.
• Kelly Maeyama, M.ED., BCBA
• Meredith Maffeo, MS, CCC-SLP
• Jessica Magallon, MS, BCBA 1-19-39470
• Alejandra Magana
• Melanie Magdaleno
• Gil Magilen, PH.D.
• Reynald Magnaye
• Lynna Lea Magnuson

• Professional Counselor in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.