Individual provider Active NPI

Stephanie L Kersheskey, LCPC

  • Professional Counselor
  • Westminster, MD
National Provider Identifier
1275832750
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3871 Issued in MD
Practice address
181 East Main Street
Second Floor
Westminster, MD 21157-2115
Phone
(443) 791-5264
NPI assigned
Mar 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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 LC3871 MD Primary

Addresses

Primary practice location

181 East Main Street
Second Floor
Westminster, MD 21157-2115

Mailing address

2963 Halston Dr
Manchester, MD 21102-1811
Phone (443) 791-5264

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

LicenseStateTypeSpecialty
LC3871MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Ridge Counseling Centers LLC 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": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1275832750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 HALSTON DR",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211021811",
            "telephone_number": "443-791-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 EAST MAIN STREET",
            "address_2": "SECOND FLOOR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211572115",
            "telephone_number": "443-791-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHESKEY",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.