Stephanie Fickle, MA, LAPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC005075 Issued in GA

Practice address

2450 Atlanta Hwy
Suite 1901
Cumming, GA 30040-8099

Phone

(770) 744-1324

Fax

(678) 456-8573

NPI assigned

Jan 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956
  Medicare reassignment NPD

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1356708234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WOODVIEW LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886074",
            "telephone_number": "404-455-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY",
            "address_2": "SUITE 1901",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408099",
            "telephone_number": "770-744-1324",
            "fax_number": "678-456-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKLE",
        "first_name": "STEPHANIE",
        "credential": "MA, LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC005075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Garcia Fernandez, NP
• Laviel A Fernandez, MD
• Nishan H Fernando, MD
• Fettle Vigor Health Inc
• Charles W Ficco, O.D.
• Skylar Marie Fields, RBT
• Finding Freedom Counseling LLC
• Michael G Finlay, DPT
• Tammy Elizabeth Finley, M.D.
• Michelle Finucan, PT

• Professional Counselor in Cumming, GA
• Providers in Cumming, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.