Individual provider Active NPI

Stephanie Clegg Price, LCMHC

  • Mental Health Counselor
  • Nespelem, WA
National Provider Identifier
1437618972
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14905 Issued in NC
Practice address
21 Colville St
Nespelem, WA 99155-0150
Phone
(509) 634-2610
NPI assigned
Mar 14, 2019
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 14905 NC Primary

Addresses

Primary practice location

21 Colville St
Nespelem, WA 99155-0150

Mailing address

PO Box 150
Nespelem, WA 99155-0150
Phone (509) 634-2610

Other practice location 1

144 Community College Rd Ste B
Ahoskie, NC 27910-8047
Phone (252) 209-8932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231206003001 NC Practitioner - Mental Health Counselor 9830548536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Coast Counseling IncGroup PAC ID 5496291882, 4 clinicians

Practice addresses (Care Compare)

620 Lynndale CT
Suite C
Greenville, NC 27858-5462
Phone (252) 752-8602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14905NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Community Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Metropolitan Community Health Services, Inc Current Accepting new patients
East Coast Counseling Inc Addiction (Substance Use Disorder) CurrentSince Jul 20, 2025 Accepting new patients
Metropolitan Community Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

620 Lynndale Ct
Ste C
Greenville, NC 27858
Phone (252) 752-8602

120 W Martin Luther King Jr Dr
Washington, NC 27889
Phone (252) 940-0602

120 W Martin Luther King Jr Dr
#J
Washington, NC 27889
Phone (252) 940-0602

1130 Godwin Dr
Williamston, NC 27892
Phone (252) 789-0401

Organizations & group practices 4

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": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1437618972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550150",
            "telephone_number": "509-634-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COLVILLE ST",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550150",
            "telephone_number": "509-634-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Community College Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Ahoskie",
            "state": "NC",
            "postal_code": "279108047",
            "country_code": "US",
            "telephone_number": "252-209-8932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "STEPHANIE",
        "middle_name": "CLEGG",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nespelem, WA

Sources for this page

Verify at the official NPI Registry.