Active NPI
Sydnee Kae Stephens, SUDCC
- Addiction (Substance Use Disorder) Counselor
- Ceres, CA
National Provider Identifier
1194028381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- S1306101650
- Practice address
- 1904 Richland Ave.
Ceres, CA 95307 - Phone
- (209) 525-7411
- Fax
- (209) 547-2083
- NPI assigned
- Dec 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | S1306101650 | CA | Primary |
| Social Worker | 104100000X | 7617574-3503 | UT |
Addresses
Primary practice location
1904 Richland Ave.
Ceres, CA 95307
Mailing address
1904 Richland Ave.
Ceres, CA 95307
Phone (209) 525-7411
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 |
|---|---|---|---|
| S1306101650 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 7617574-3503 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1194028381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 RICHLAND AVE.",
"city": "CERES",
"state": "CA",
"postal_code": "95307",
"telephone_number": "209-525-7411",
"fax_number": "209-547-2083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 RICHLAND AVE.",
"city": "CERES",
"state": "CA",
"postal_code": "95307",
"telephone_number": "209-525-7411",
"fax_number": "209-547-2083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "SYDNEE",
"middle_name": "KAE",
"name_prefix": "Ms.",
"credential": "SUDCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-10",
"last_updated": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "S1306101650",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "7617574-3503",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.