Active NPI
Stephanie Mercer
- Addiction (Substance Use Disorder) Counselor
- Hampton, VA
National Provider Identifier
1407439755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS27285
- Practice address
- 110 Coliseum Xing Ste 5142
Hampton, VA 23666-5971 - Phone
- (757) 654-3194
- NPI assigned
- May 4, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704014433 | VA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS27285 | NC | Primary |
Addresses
Primary practice location
110 Coliseum Xing Ste 5142
Hampton, VA 23666-5971
Mailing address
740 Walker Rd
Bunnlevel, NC 28323-8213
Phone (910) 605-8948
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 |
|---|---|---|---|
| LCAS27285 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 0704014433 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1407439755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 WALKER RD",
"city": "BUNNLEVEL",
"state": "NC",
"postal_code": "283238213",
"telephone_number": "910-605-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 COLISEUM XING STE 5142",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665971",
"telephone_number": "757-654-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704014433",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS27285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.