Individual provider Active NPI

Mary Bane Stevens, LMHC

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1437298809
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 8675 Issued in FL
Practice address
3300 17TH St
Sarasota, FL 34235-8904
Phone
(941) 217-6503
Fax
(941) 960-1123
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X MH8675 FL
Mental Health Counselor 101YM0800X MH 8675 FL Primary

Addresses

Primary practice location

3300 17TH St
Sarasota, FL 34235-8904

Mailing address

2817 Taywood MDWS
Sarasota, FL 34235-2026
Phone (941) 288-3121

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

LicenseStateTypeSpecialty
MH 8675FLMDMental Health Counselor
MH8675FLMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Childrens Service of the Suncoast Inc CurrentSince Sep 26, 2012 Accepting new patients
All Star Children's Foundation CurrentSince Mar 28, 2021 Accepting new patients
All Star Children's Foundation Mental Health CurrentSince Aug 8, 2021 Accepting new patients

Locations

3300 17th St
Sarasota, FL 34235
Phone (941) 217-6503

2688 Fruitville Rd
Sarasota, FL 34237
Phone (941) 366-2224

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1437298809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 TAYWOOD MDWS",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342352026",
            "telephone_number": "941-288-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 17TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342358904",
            "telephone_number": "941-217-6503",
            "fax_number": "941-960-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARY",
        "middle_name": "BANE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "MH8675",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.