Individual provider Active NPI

Rebecca Oliva Stemsrud, LPC

  • Mental Health Counselor
  • El Paso, TX
National Provider Identifier
1164767455
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
65347 Issued in TX
Practice address
3726 Mark Jason Dr
El Paso, TX 79938-9344
Phone
(915) 255-7280
NPI assigned
Nov 28, 2012
Last updated
Dec 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 65347 TX Primary

Addresses

Primary practice location

3726 Mark Jason Dr
El Paso, TX 79938-9344

Mailing address

3726 Mark Jason Dr
El Paso, TX 79938-9344
Phone (915) 255-7280

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

LicenseStateTypeSpecialty
65347TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1164767455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 MARK JASON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799389344",
            "telephone_number": "915-255-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 MARK JASON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799389344",
            "telephone_number": "915-255-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMSRUD",
        "first_name": "REBECCA",
        "middle_name": "OLIVA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "65347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.