Individual provider Active NPI

Stephen Emmanuel Lewis, M.S

  • Professional Counselor
  • Beaumont, TX
National Provider Identifier
1134866858
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4040 Crow Rd Apt 502
Beaumont, TX 77706-7054
Phone
(325) 450-7487
NPI assigned
May 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86807 TX
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4040 Crow Rd Apt 502
Beaumont, TX 77706-7054

Mailing address

PO Box 12577
Beaumont, TX 77726-2577
Phone (325) 450-7487

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240123004525 TX Practitioner - Mental Health Counselor 2769834928 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86807TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eduvention Mentoring and Consulting LLC Mental Health CurrentSince Jan 30, 2025 Accepting new patients
Spindletop MHMR Services Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Spindletop MHMR Services Mental Health Current Accepting new patients

Locations

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

8711 Highway 6 N
Ste 270
Houston, TX 77095
Phone (346) 377-6650

1290 Wonder World Dr
Ste 1230
San Marcos, TX 78666
Phone (346) 377-6650

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1134866858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12577",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777262577",
            "telephone_number": "325-450-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 CROW RD APT 502",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067054",
            "telephone_number": "325-450-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "STEPHEN",
        "middle_name": "EMMANUEL",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-14",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86807",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.