Individual provider Active NPI

David R. R. Stephens, M.A., LPC, NCC

  • Professional Counselor
  • Huntsville, AL
National Provider Identifier
1205145679
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2776 Issued in AL
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

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2776ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.