Individual provider Active NPI

Siara Stewart, LPC

  • Professional Counselor
  • Glen Allen, VA
National Provider Identifier
1265055347
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
12000 Wyndham Lake Dr
Glen Allen, VA 23059-7072
Phone
(804) 464-7005
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

12000 Wyndham Lake Dr
Glen Allen, VA 23059-7072

Mailing address

1811 Huguenot Rd Ste 408
Midlothian, VA 23113-5609

Other practice location 1

1811 Huguenot Rd
Midlothian, VA 23113-5600
Phone (804) 464-7005

Other practice location 2

1811 Huguenot Rd Ste 408
Midlothian, VA 23113-5609
Phone (804) 464-7005

Other practice location 3

1811 Huguenot Rd Ste 408
Midlothian, VA 23113-5609
Phone (804) 464-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1265055347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 HUGUENOT RD STE 408",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231135609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 WYNDHAM LAKE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597072",
            "telephone_number": "804-464-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 Huguenot Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231135600",
            "country_code": "US",
            "telephone_number": "804-464-7005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 Huguenot Rd Ste 408",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231135609",
            "country_code": "US",
            "telephone_number": "804-464-7005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 Huguenot Rd Ste 408",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231135609",
            "country_code": "US",
            "telephone_number": "804-464-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SIARA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.