Active NPI
Stephanie Kate Williston, PH.D.
- Marriage & Family Therapist
- Manchester, NH
National Provider Identifier
1205904703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 17
- Practice address
- 2013 Elm St
Pastoral Counseling Services
Manchester, NH 03104-2528 - Phone
- (603) 627-2702
- Fax
- (603) 627-3643
- NPI assigned
- Dec 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 987 | NH | |
| Marriage & Family Therapist | 106H00000X | 17 | NH | Primary |
Addresses
Primary practice location
2013 Elm St
Pastoral Counseling Services
Manchester, NH 03104-2528
Mailing address
875 Chestnut St
Manchester, NH 03104-2522
Phone (603) 622-5561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304 20550 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 987 | NH | MD | Social Worker |
| 17 | NH | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightleaf, Inc | Clinical | 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": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1205904703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 CHESTNUT ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042522",
"telephone_number": "603-622-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2013 ELM ST",
"address_2": "PASTORAL COUNSELING SERVICES",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042528",
"telephone_number": "603-627-2702",
"fax_number": "603-627-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLISTON",
"first_name": "STEPHANIE",
"middle_name": "KATE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "987",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NH",
"license": "17",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304 20550",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.