Active NPI
Anna Stephenson, LCAT
- Drama Therapist
- New York, NY
National Provider Identifier
1205505575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Drama Therapist
- License
- 002595
- Practice address
- 19 Dutch St Apt 53C
New York, NY 10038-0169 - Phone
- (770) 547-3287
- NPI assigned
- Sep 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Drama Therapist | 101200000X | 002595 | NY | Primary |
Addresses
Primary practice location
19 Dutch St Apt 53C
New York, NY 10038-0169
Mailing address
19 Dutch St Apt 53C
New York, NY 10038-0169
Phone (770) 547-3287
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.simplepractice.com |
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 |
|---|---|---|---|
| 002595 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1205505575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 DUTCH ST APT 53C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100380169",
"telephone_number": "770-547-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 DUTCH ST APT 53C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100380169",
"telephone_number": "770-547-3287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "ANNA",
"credential": "LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": "NY",
"license": "002595",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.simplepractice.com",
"affiliation": "N",
"address_1": "19 Dutch St Apt 53C",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100380169",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.