Active NPI
Lindsey Neal Stephens Jr., LCMHCA
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1417686114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCAS-22174
- Practice address
- 7825 Ballantyne Commons Pkwy
Ste 110
Charlotte, NC 28277-3174 - Phone
- (704) 446-0391
- NPI assigned
- Jun 8, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCAS-22174 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-22174 | NC | |
| Mental Health Counselor | 101YM0800X | LCAS-22174 | NC |
Addresses
Primary practice location
7825 Ballantyne Commons Pkwy
Ste 110
Charlotte, NC 28277-3174
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
447 Billingsley Rd
Cottage A
Charlotte, NC 28211
Phone (704) 444-2400
Other practice location 2
501 Billingsley Rd
Ste B
Charlotte, NC 28211-1009
Phone (704) 444-2400
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | lstephensjr2810669@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
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 |
|---|---|---|---|
| LCAS-22174 | NC | MD | Mental Health Counselor |
Interoperability endpoints
- lstephensjr2810669@carolinashealthcaresystem.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1417686114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7825 BALLANTYNE COMMONS PKWY",
"address_2": "STE 110",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773174",
"telephone_number": "704-446-0391"
}
],
"practiceLocations": [
{
"address_1": "447 Billingsley Rd",
"address_2": "Cottage A",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28211",
"country_code": "US",
"telephone_number": "704-444-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Billingsley Rd",
"address_2": "Ste B",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282111009",
"country_code": "US",
"telephone_number": "704-444-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "LINDSEY",
"middle_name": "NEAL",
"name_suffix": "Jr.",
"credential": "LCMHCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-08",
"last_updated": "2024-07-19",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "LCAS-22174",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-22174",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "LCAS-22174",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lstephensjr2810669@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "7825 Ballantyne Commons Pkwy",
"address_2": "Ste 110",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282773174",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.