Active NPI
David R. R. Stephens, M.A., LPC, NCC
- Professional Counselor
- Huntsville, AL
National Provider Identifier
1205145679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2776
- Practice address
- 300 Clinton Avenue West
Suite 21
Huntsville, AL 35801-5590 - Phone
- (256) 945-7959
- NPI assigned
- Oct 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2776 | AL | Primary |
Addresses
Primary practice location
300 Clinton Avenue West
Suite 21
Huntsville, AL 35801-5590
Mailing address
300 Clinton Ave W
Suite 21
Huntsville, AL 35801-5527
Phone (256) 945-7959
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2776 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Behavioral Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Huntsville, AL
- NPI 1558874149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1205145679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CLINTON AVE W",
"address_2": "SUITE 21",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015527",
"telephone_number": "256-945-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CLINTON AVENUE WEST",
"address_2": "SUITE 21",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015590",
"telephone_number": "256-945-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "DAVID R.",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "M.A., LPC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-01",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.