Stephanie Dayle Douglas, MA LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9866 Issued in FL

Practice address

197 SW Sarah CT
Lake City, FL 32024-3852

Phone

(386) 623-5732

NPI assigned

Oct 29, 2010

Last updated

Oct 29, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1184924649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 SW SARAH CT",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320243852",
            "telephone_number": "386-623-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 SW SARAH CT",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320243852",
            "telephone_number": "386-623-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "STEPHANIE",
        "middle_name": "DAYLE",
        "name_prefix": "Mrs.",
        "credential": "MA LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Double Spring Anesthesia Providers LLC
• Douglas Assisted Living Facility
• Douglas H. Kahn, DPM, PA
• Jamee Lauri Douglas, RN
• Jessica Lynn Douglas, FNP-BC
• Sylvia Willis Douglas, LMT
• Tamika Dowling, ARNP
• Erme Don Doyle III, LPN
• Dream Big My Darling LLC (Wildflower Therapy)
• Kaitlin Drewing

• Mental Health Counselor in Lake City, FL
• Providers in Lake City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.