Martha H Stephenson, LCDCIII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

001411 Issued in OH

Practice address

4483 US North 42
Mason, OH 45040

Phone

(513) 536-0071

Fax

(513) 204-3476

NPI assigned

Jan 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Marty H Stephenson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1255578092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4483 US NORTH 42",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401934",
            "telephone_number": "513-536-0071",
            "fax_number": "513-204-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4483 US NORTH 42",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-536-0071",
            "fax_number": "513-204-3476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Cook Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450369600",
            "country_code": "US",
            "telephone_number": "513-695-1357",
            "fax_number": "513-695-1831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "MARTHA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "LCDCIII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "00141",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "001411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0277784",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTY",
            "last_name": "STEPHENSON",
            "middle_name": "H",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shyloe Stark, LSW
• Joel Starner
• Sherry Steele Cooper, RN
• Betsy a. Ann Stefut, P.T.A.
• Daniel Stempler
• Seth L Stephenson
• Kelly Lynn Stevens, APRN, FNP-C
• Ruthnicole Stevenson
• Kay Stewart, ACNPC-AG
• Christen Stidd, ED.S.

• Addiction (Substance Use Disorder) Counselor in Mason, OH
• Providers in Mason, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.