Samuel Stephenson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

601 S Institute St Unit 3
Colorado Springs, CO 80903-4743

Phone

(719) 210-3726

NPI assigned

Jan 27, 2021

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Converge Lecture Series

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1356932057
  NPD Authorized official

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1346831047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S INSTITUTE ST UNIT 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034743",
            "telephone_number": "719-210-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S INSTITUTE ST UNIT 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034743",
            "telephone_number": "719-210-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Brett Stephens, QBHA
• Carlee Stephenson, M.A. CCC-SLP
• Derek Stephenson, PHARMD
• Mark David Stephenson, ATC
• Rachelle Stephenson, MSW
• Danicia Stepisnik-Brown
• Winnie Mae Stepisnik-Brown
• Sheri Lyn Stepp, LMT
• Stepping Stone Services
• Stepping Stones Counseling Service

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.