Individual provider Active NPI

Kathleen Ford Stebbins, MA, LPC, NCC

  • Professional Counselor
  • Mount Pleasant, SC
National Provider Identifier
1306005269
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5674 Issued in SC
Practice address
217 Lucas St
Suite D1
Mount Pleasant, SC 29464-4381
Phone
(843) 709-6553
NPI assigned
Jun 5, 2008
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178004774 IL
Professional Counselor 101YP2500X 5674 SC Primary

Addresses

Primary practice location

217 Lucas St
Suite D1
Mount Pleasant, SC 29464-4381

Mailing address

217 Lucas St
Suite D1
Mount Pleasant, SC 29464-4381
Phone (843) 709-6553

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178004774ILMDProfessional Counselor
5674SCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Seniors, LLC Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1306005269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 LUCAS ST",
            "address_2": "SUITE D1",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644381",
            "telephone_number": "843-709-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 LUCAS ST",
            "address_2": "SUITE D1",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644381",
            "telephone_number": "843-709-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "KATHLEEN",
        "middle_name": "FORD",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178004774",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.