Stephanie Vance, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1414 Issued in MS

Practice address

534 Keyway Dr Ste a
Flowood, MS 39232-9591

Phone

(601) 213-7300

Fax

(888) 425-0602

NPI assigned

Nov 17, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 6, 2025 through Jul 6, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Warren Yazoo Mental Health Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vicksburg, MS
  • NPI 1023002920
  NPD (past)

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1295916377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 KEYWAY DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329591",
            "telephone_number": "601-213-7300",
            "fax_number": "888-425-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 KEYWAY DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329591",
            "telephone_number": "601-213-7300",
            "fax_number": "888-425-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "STEPHANIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-17",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urological Surgery Associates PLLC
• Jan Marie Valenti, PMHNP-BC
• Ricardo T Valle, DDS
• Gregory Alan Vance, M.D.
• Meredith Taylor Vance, PHARMD
• Traci Vance, PHARMD
• Mallory Rae Vandevender, FNP-C
• Matthew Arrington Vanlandingham, M.D.
• Laura Gail Vanoverschelde, CRNA
• Alisha Stockton Vaughn, M.D.

• Professional Counselor in Flowood, MS
• Providers in Flowood, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.