Stephanie Lynn Shaefer, PHD, MED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701-001111 Issued in VA

Practice address

1305 N Jackson St
Arlington, VA 22201-5028

Phone

(703) 903-9696

NPI assigned

Apr 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education, Doctor of Philosophy

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.

• Center for Pastoral Counseling of Virginia

  • Pastoral Counselor
  • MC Lean, VA
  • NPI 1104328335
  NPD (past)

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1376005801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 HUNTINGTON AVE APT 1609",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031629",
            "telephone_number": "703-903-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N JACKSON ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015028",
            "telephone_number": "703-903-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6935 Columbia Pike",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220033458",
            "country_code": "US",
            "telephone_number": "703-903-9696 x244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 Seminary Rd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223045202",
            "country_code": "US",
            "telephone_number": "703-903-9696 x244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1716 Chain Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221014322",
            "country_code": "US",
            "telephone_number": "703-903-9696 x244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAEFER",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, MED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701-001111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanieshaefer@pastoralcounseling.com",
            "affiliation": "Y",
            "endpointDescription": "Affiliation",
            "affiliationName": "Center for Pastoral Counseling of Virginia",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1716 Chain Bridge Rd",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221014322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Molly Nicole Sepulvado, LCSW
• Pilar Maria Sequeira, MSN, NP-C
• Leigh Serroka, MSW
• Robert Axel Sershon, M.D.
• Sumi Sexton, M.D.
• Elizabeth Theresa Shaeffer, D.D.S.
• Ami Shah, PT, M.P.T
• Priya Shah
• Reepa R Shah, M.D.
• Omer Shahab, M.D.

• Professional Counselor in Arlington, VA
• Providers in Arlington, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.