Active NPI
Stephanie Giddings LMFT Inc
- Marriage & Family Therapist
- Lakeland, FL
National Provider Identifier
1447841820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- STEPHANIE GIDDINGS LMFT INC
- Doing business as
- Stephanie Giddings LMFT Inc
- Practice address
- 4335 Reding Way
Lakeland, FL 33813-4481 - Phone
- (971) 599-2251
- NPI assigned
- Jan 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Giddings, MA
- Title
- President
- Phone
- (971) 599-2251
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
4335 Reding Way
Lakeland, FL 33813-4481
Mailing address
4676 Commercial St SE
Salem, OR 97302-1902
Phone (971) 599-2251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500704895 | Medicaid | OR |
Other names 1
- Stephanie Giddings LMFT Inc
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stephaniegiddings@therapysecure.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2111 Front St NE
Bldg 2
Salem, OR 97301
Phone (909) 438-5635
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622592000000",
"number": "1447841820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4676 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973021902",
"telephone_number": "971-599-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4335 REDING WAY",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338134481",
"telephone_number": "971-599-2251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANIE GIDDINGS LMFT INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-28",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A",
"authorized_official_last_name": "GIDDINGS",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "971-599-2251",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500704895",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stephaniegiddings@therapysecure.com",
"affiliation": "N",
"address_1": "2111 Front St NE Bldg 2",
"address_2": "Suite 201D",
"city": "Salem",
"state": "OR",
"country_code": "US",
"postal_code": "973010765",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Stephanie Giddings LMFT Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Stephanie Giddings LMFT Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.