Individual provider Active NPI

Stephanie Lynn Vines, LPC

  • Mental Health Counselor
  • New Iberia, LA
National Provider Identifier
1396204277
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2390 Issued in LA
Practice address
152 W Main St
New Iberia, LA 70560-3871
Phone
(337) 380-6803
Fax
(337) 340-9252
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2390 LA Primary

Addresses

Primary practice location

152 W Main St
New Iberia, LA 70560-3871

Mailing address

152 W Main St
New Iberia, LA 70560-3871
Phone (337) 380-6803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240110000973 LA Practitioner - Mental Health Counselor 4789035130 Reassigns benefits to 1 organization
Practice locations: New Iberia, LA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 Marie St
New Iberia, LA 70563-2425
Phone (337) 380-6803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Vines, NCC, LPC, LLC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

152 W Main St
New Iberia, LA 70560
Phone (337) 241-9017

105 Marie St
New Iberia, LA 70563
Phone (337) 339-0051

Organizations & group practices 1

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1396204277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 W MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603871",
            "telephone_number": "337-380-6803",
            "fax_number": "337-340-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 W MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603871",
            "telephone_number": "337-380-6803",
            "fax_number": "337-340-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINES",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.