Stephanie Jill Gorman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2210 Issued in MS

Practice address

Stephanie Jill Gorman, LPC LLC
100 Starr Avenue Suite K
Starkville, MS 39759

Phone

(662) 648-8477

Fax

(844) 235-2943

NPI assigned

Jan 17, 2011

Sex

Female

Sole proprietor

Yes

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

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.

• Oasis Counseling LLC

  • Professional Counselor
  • Starkville, MS
  • NPI 1437871282
  NPD Authorized official
• Starkville Wellness Group

  • Mental Health Counselor
  • Starkville, MS
  • NPI 1437763240
  NPD

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1376848721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STARR AVENUE",
            "address_2": "SUITE K",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-648-8477",
            "fax_number": "844-235-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STEPHANIE JILL GORMAN, LPC LLC",
            "address_2": "100 STARR AVENUE SUITE K",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-648-8477",
            "fax_number": "844-235-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "STEPHANIE",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC0006279",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Triangle Recovery Center, Inc.
• Golden Triangle Rural Family Health Center LLC
• Golden Triangle Urgent Care LLC
• Golden Triangle Urgent Care LLC
• Charity Ruth Gordon, LPC
• Lakita Lajoy Goss
• Foley Davis Graham, FNP
• Sage Christian Graham, PHARMD
• Chenome Grant, MS
• Gray Matter Counseling Services, Inc.

• Professional Counselor in Starkville, MS
• Providers in Starkville, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.