Individual provider Active NPI

Caren Stewart, MA, LPCS

  • Professional Counselor
  • Conway, SC
National Provider Identifier
1417014200
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5068 Issued in SC
Practice address
800 Legion St
Conway, SC 29526-4825
Phone
(704) 460-2317
Fax
(843) 962-5277
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6567 SC
Professional Counselor 101YP2500X 583 SC
Professional Counselor 101YP2500X 5068 SC Primary

Addresses

Primary practice location

800 Legion St
Conway, SC 29526-4825

Mailing address

800 Legion St
Conway, SC 29526-4825
Phone (704) 460-2317

Other identifiers 1

IdentifierTypeStateIssuer
6102836MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240708003069 SC Practitioner - Mental Health Counselor 5395826218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Legion St
Suite 100E
Conway, SC 29526-4825

900 B Main St
Conway, SC 29526-4063
Phone (843) 516-0455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6567SCMDProfessional Counselor
583SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Caren Stewart & Associates, LLC CurrentSince Feb 17, 2024 Accepting new patients
Recovery Center of the Triad PastSince Nov 8, 2010 Accepting new patients

Locations

800 Legion St
Ste 100E
Conway, SC 29526
Phone (704) 460-2317

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1417014200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LEGION ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264825",
            "telephone_number": "704-460-2317",
            "fax_number": "843-962-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LEGION ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264825",
            "telephone_number": "704-460-2317",
            "fax_number": "843-962-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CAREN",
        "credential": "MA, LPCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6567",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "583",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102836",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.