Individual provider Active NPI

Stephanie Stathas, MS, LPS, NCC

  • Mental Health Counselor
  • Mechanicsburg, PA
National Provider Identifier
1437617487
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC011072 Issued in PA
Practice address
5006 E Trindle Rd Ste 101
Mechanicsburg, PA 17050-3647
Phone
(717) 243-1326
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC011072 PA Primary

Addresses

Primary practice location

5006 E Trindle Rd Ste 101
Mechanicsburg, PA 17050-3647

Mailing address

1357 English Dr
Mechanicsburg, PA 17055-5685
Phone (239) 898-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240304000653 PA Practitioner - Mental Health Counselor 0547605347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lightfoot Counseling LLCGroup PAC ID 7517302490, 3 clinicians

Practice addresses (Care Compare)

133 Park PL W
Shippensburg, PA 17257-9212
Phone (717) 921-7004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PA Counseling Co-Op Mental Health CurrentSince Jan 16, 2024 Accepting new patients
Folium, Inc. PastSince Feb 1, 2015 Accepting new patients

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": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1437617487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 ENGLISH DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555685",
            "telephone_number": "239-898-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 E TRINDLE RD STE 101",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503647",
            "telephone_number": "717-243-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHAS",
        "first_name": "STEPHANIE",
        "credential": "MS, LPS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.