Active NPI
Devonne Stirsman, LPCC, LCADC
- Professional Counselor
- Owensboro, KY
National Provider Identifier
1245314186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 163596
- Practice address
- 100 W 3Rd St
Suite 304
Owensboro, KY 42303-4135 - Phone
- (270) 977-3708
- Fax
- (270) 228-0341
- NPI assigned
- Oct 25, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 165561 | KY | |
| Professional Counselor | 101YP2500X | 163596 | KY | Primary |
Addresses
Primary practice location
100 W 3Rd St
Suite 304
Owensboro, KY 42303-4135
Mailing address
100 W 3Rd St
Suite 304
Owensboro, KY 42303-4135
Phone (270) 977-3708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100391250 | Medicaid | KY |
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 |
|---|---|---|---|
| 165561 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 163596 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1245314186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W 3RD ST",
"address_2": "SUITE 304",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423034135",
"telephone_number": "270-977-3708",
"fax_number": "270-228-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W 3RD ST",
"address_2": "SUITE 304",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423034135",
"telephone_number": "270-977-3708",
"fax_number": "270-228-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIRSMAN",
"first_name": "DEVONNE",
"credential": "LPCC, LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "165561",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "163596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100391250",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.