Maximilian Martin Stepaniak
Individual provider Active NPI Mental Health Counselor · Bellevue, KY
NPI 1447985155 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1447985155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- E.2606910 (OH)
- Practice address
- 3011 Eden Ave
Unit 3B
Bellevue, KY 41073 - Phone
- (513) 910-7480
- NPI assigned
- Jul 18, 2022
- Reactivated
- Feb 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Group Home, LLC | Past |
Accepting new patients | |
| Phoenix Group Home, LLC | Past |
Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pathihc/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.2606910 | OH | Yes |
Addresses
Primary practice location
3011 Eden Ave
Unit 3B
Bellevue, KY 41073
Mailing address
301 Eden Ave Unit 3B
Bellevue, KY 41073-1267
Other providers in Bellevue, KY
- Michael P Schulte
- Robert Sopko
- St Luke Hospital Inc
- St Luke Pediatric Center
- Erin Steigerwald
- Mindy Sydnor
- Taylor Thomas
- Michael S. Thompson
- Thor Tangvald M.D. Inc.
- Thomas E. Tomelin
All providers in Bellevue, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.