Active NPI
Stephen Schubert, LPC, LMFT
- Professional Counselor
- Mansfield, TX
National Provider Identifier
1407156557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 79105
- Practice address
- 1285 N Main St Ste 101-5
Mansfield, TX 76063-1511 - Phone
- (682) 651-7621
- NPI assigned
- Oct 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.008659 | IL | |
| Marriage & Family Therapist | 106H00000X | 166.000932 | IL | |
| Marriage & Family Therapist | 106H00000X | 203057 | TX | |
| Professional Counselor | 101YP2500X | 79105 | TX | Primary |
Addresses
Primary practice location
1285 N Main St Ste 101-5
Mansfield, TX 76063-1511
Mailing address
2816 Olympia Dr
Grand Prairie, TX 75052-8006
Phone (210) 844-3660
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 |
|---|---|---|---|
| 180.008659 | IL | MD | Professional Counselor |
| 79105 | TX | MD | Professional Counselor |
| 166.000932 | IL | MD | Marriage & Family Therapist |
| 203057 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regal Oak Counseling, LLC | Professional | Past | Accepting new patients |
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": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1407156557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2816 OLYMPIA DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528006",
"telephone_number": "210-844-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 N MAIN ST STE 101-5",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760631511",
"telephone_number": "682-651-7621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUBERT",
"first_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-22",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.008659",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.000932",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203057",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "79105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.