Individual provider Active NPI

Stephanie Exton, MS

  • Case Manager/Care Coordinator
  • Grand Rapids, MI
National Provider Identifier
1386017499
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1111 40TH St SE
Grand Rapids, MI 49508-6084
Phone
(616) 885-8078
Fax
(616) 885-8078
NPI assigned
Nov 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1111 40TH St SE
Grand Rapids, MI 49508-6084

Mailing address

1111 40TH St SE
Grand Rapids, MI 49508-6084
Phone (616) 885-8078

Other practice location 1

680 3 Mile Rd NW
Suite C
Grand Rapids, MI 49544-8218
Phone (616) 647-3460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Community Services CurrentSince Apr 16, 2023 Accepting new patients
Spectrum Community Services CurrentSince Feb 25, 2024 Accepting new patients
Kent County CMH Authority Past Accepting new patients
Wilson and Wynn Interventions, PLC PastSince Sep 9, 2014 Accepting new patients

Locations

1111 40th St SE
Wyoming, MI 49508
Phone (616) 516-7131

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1386017499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 40TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495086084",
            "telephone_number": "616-885-8078",
            "fax_number": "616-885-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 40TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495086084",
            "telephone_number": "616-885-8078",
            "fax_number": "616-885-8078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 3 Mile Rd NW",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495448218",
            "country_code": "US",
            "telephone_number": "616-647-3460",
            "fax_number": "616-647-3467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EXTON",
        "first_name": "STEPHANIE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.