Individual provider Active NPI

Deborah Stednick

  • Professional Counselor
  • Fairless Hills, PA
National Provider Identifier
1396123154
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008139 Issued in PA
Practice address
333 N Oxford Valley Rd
Suite 202
Fairless Hills, PA 19030-2624
Phone
(215) 547-5774
Fax
(215) 547-0768
NPI assigned
May 13, 2015
Last updated
May 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC008139 PA Primary

Addresses

Primary practice location

333 N Oxford Valley Rd
Suite 202
Fairless Hills, PA 19030-2624

Mailing address

609 Iva LN
Fairless Hills, PA 19030-3805
Phone (215) 943-1840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208002607 PA Practitioner - Mental Health Counselor 2264875053 Practice locations: Fairless Hills, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

609 Iva LN
Fairless Hills, PA 19030-3805
Phone (215) 638-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC008139PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fairless Hills Psychological Associates Past Accepting new patients
Fairless Hills Psychological Professional Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1396123154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 IVA LN",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190303805",
            "telephone_number": "215-943-1840",
            "fax_number": "215-943-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD",
            "address_2": "SUITE 202",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302624",
            "telephone_number": "215-547-5774",
            "fax_number": "215-547-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEDNICK",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

Verify at the official NPI Registry.