Active NPI
Stephanie M. Marshall
- Professional Counselor
- Monroe, LA
National Provider Identifier
1194923185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2780
- Practice address
- 3200 Concordia Ave
Monroe, LA 71201-5113 - Phone
- (318) 362-5188
- Fax
- (318) 362-5215
- NPI assigned
- Jul 11, 2007
- Last updated
- Jul 11, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2780 | LA | Primary |
| Marriage & Family Therapist | 106H00000X | 795 | LA |
Addresses
Primary practice location
3200 Concordia Ave
Monroe, LA 71201-5113
Mailing address
6401 Cypress Point Dr
Monroe, LA 71203-3211
Phone (318) 345-3954
Other names 1
- Mrs. Stephanie M. Marshall
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 |
|---|---|---|---|
| 2780 | LA | MD | Professional Counselor |
| 795 | LA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- stephaniemarshall@tdh.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1194923185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 CYPRESS POINT DR",
"city": "MONROE",
"state": "LA",
"postal_code": "712033211",
"telephone_number": "318-345-3954",
"fax_number": "318-345-3954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CONCORDIA AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "712015113",
"telephone_number": "318-362-5188",
"fax_number": "318-362-5215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "STEPHANIE",
"middle_name": "M.",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "2780",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "795",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "MARSHALL",
"middle_name": "M.",
"prefix": "MRS.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.