Stephen Phillip Demien, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166000620 Issued in IL

Practice address

2440 New York Ave Apt B
Great Lakes, IL 60088-2217

Phone

(254) 247-8497

NPI assigned

Oct 31, 2016

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1376095927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 NEW YORK AVE APT B",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600882217",
            "telephone_number": "254-247-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 NEW YORK AVE APT B",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600882217",
            "telephone_number": "254-247-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIEN",
        "first_name": "STEPHEN",
        "middle_name": "PHILLIP",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel James Curry, DMD
• John E. Dalton, PH.D.
• John Charles Davis, DDS
• Joseph Neil Dehoogh, D.D.S.
• Arnold Gary Delfiner, D.D.S.
• Irve Denenberg, OD
• Alexandre Derevianko
• Judy Ann Dixon, FNP
• Michael Shawn Donoghue, D.D.S.
• Jimi Michelle Doty, NP

• Marriage & Family Therapist in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.