Active NPI
Stephanie Clegg Price, LCMHC
- Mental Health Counselor
- Nespelem, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14905
- Practice address
- 21 Colville St
Nespelem, WA 99155-0150 - Phone
- (509) 634-2610
- NPI assigned
- Mar 14, 2019
- Last updated
- Jan 24, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14905 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Community Health Services, Inc. | Current | Accepting new patients | |
| Metropolitan Community Health Services, Inc | Current | Accepting new patients | |
| East Coast Counseling Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Metropolitan Community Health Services, Inc. | Current | 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.
-
- Addiction (Substance Use Disorder) Counselor
- Greenville, NC
- NPI 1548390933
-
dba Agape Community Health Clinic
- Federally Qualified Health Center (FQHC)
- Washington, NC
- NPI 1366488280
-
dba Roanoke River Orthopedics
- Orthopaedic Surgery Physician
- Williamston, NC
- NPI 1295515260
-
dba Agape Health Services - Carolina Avenue
- Federally Qualified Health Center (FQHC)
- Washington, NC
- NPI 1891590444
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.