Active NPI
Stephony Mark
- Professional Counselor
- Hammond, LA
National Provider Identifier
1225686587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7957
- Practice address
- 108 Robinhood Drive
Hammond, LA 70403 - Phone
- (504) 374-1626
- NPI assigned
- Aug 29, 2019
- Last updated
- Jul 16, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 7957 | LA | Primary |
Addresses
Primary practice location
108 Robinhood Drive
Hammond, LA 70403
Mailing address
PO Box 1056
Hammond, LA 70404-1056
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 |
|---|---|---|---|
| 7957 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1225686587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1056",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704041056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 ROBINHOOD DRIVE",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70403",
"telephone_number": "504-374-1626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "STEPHONY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2024-07-16",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "7957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.