Active NPI
Caren Stewart, MA, LPCS
- Professional Counselor
- Conway, SC
National Provider Identifier
1417014200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5068
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102836 | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6567 | SC | MD | Professional Counselor |
| 583 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caren Stewart & Associates, LLC | Current | Accepting new patients | |
| Recovery Center of the Triad | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Conway, SC
- NPI 1669045688
SC
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1275834384
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.