Active NPI
Stephie Degand
- Mental Health Counselor
- Scotch Plains, NJ
National Provider Identifier
1124840780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00743200
- Practice address
- 1830 Front St
Scotch Plains, NJ 07076-1103 - Phone
- (908) 322-9180
- NPI assigned
- Oct 25, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00743200 | NJ | Primary |
Addresses
Primary practice location
1830 Front St
Scotch Plains, NJ 07076-1103
Mailing address
265 Grove St Apt 34
Elizabeth, NJ 07208-1652
Phone (973) 388-5908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00743200 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolve Community Counseling Center, Inc. | Past | Accepting new patients | |
| Resolve Community Counseling Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Scotch Plains, NJ
- NPI 1205081510
-
- Community/Behavioral Health Agency
- Scotch Plains, NJ
- NPI 1427525120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1124840780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 GROVE ST APT 34",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072081652",
"telephone_number": "973-388-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 FRONT ST",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761103",
"telephone_number": "908-322-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGAND",
"first_name": "STEPHIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-25",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00743200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scotch Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.