Active NPI
Robert Lake Stevens, LPC, LCDC-III, CRC
- Mental Health Counselor
- Chillicothe, OH
National Provider Identifier
1396105953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C1400272
- Practice address
- 126 E 2ND St
Suite B
Chillicothe, OH 45601-2593 - Phone
- (740) 851-5307
- Fax
- (740) 851-5308
- NPI assigned
- Feb 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 151184 | OH | |
| Mental Health Counselor | 101YM0800X | C1400272 | OH | Primary |
Addresses
Primary practice location
126 E 2ND St
Suite B
Chillicothe, OH 45601-2593
Mailing address
126 E 2ND St
Suite B
Chillicothe, OH 45601-2593
Phone (740) 851-5307
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151184 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| C1400272 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1396105953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 E 2ND ST",
"address_2": "SUITE B",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456012593",
"telephone_number": "740-851-5307",
"fax_number": "740-851-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 E 2ND ST",
"address_2": "SUITE B",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456012593",
"telephone_number": "740-851-5307",
"fax_number": "740-851-5308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "ROBERT",
"middle_name": "LAKE",
"credential": "LPC, LCDC-III, CRC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-25",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "151184",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C1400272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.