Stephanie Sanderson, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10597 Issued in NC

Practice address

2200 Clybourn Church Rd
Lumberton, NC 28360-9356

Phone

(910) 739-9160

Fax

(910) 739-9155

NPI assigned

Feb 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lumberton Treatment Center LLC

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1548633555
  NPD (past)

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1447641758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 SADDLETREE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609301",
            "telephone_number": "910-384-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CLYBOURN CHURCH RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609356",
            "telephone_number": "910-739-9160",
            "fax_number": "910-739-9155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "448 Saddletree Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283609301",
            "country_code": "US",
            "telephone_number": "910-384-4147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "STEPHANIE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20682",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS - A 20682",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10597",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi Sampson
• Brittany Sampson
• Betty Jo Sanders, PT
• Grant Thomas Sanders, DO
• Leslie Sanderson, RPH
• Sandhills Pediatrics (Robeson Pediatrics)
• Thomas Michael Sandoval, DO
• Sandra Morgan (Above & Beyond Professional Counseling Services, PLLC)
• Santhosh Augustine (Southeastern Gastroenterology & Internal Medicine)
• Jenna Santiago-Wickey, DO

• Professional Counselor in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.