Individual provider Active NPI

Mike R Stewart, MDIV, MA,, LPC

  • Mental Health Counselor
  • Hickory, NC
National Provider Identifier
1467540377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
N C 2703 Issued in NC
Practice address
263 3Rd Ave NW
Hickory, NC 28601-4911
Phone
(828) 322-4941
Fax
(828) 322-4931
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X N C 2703 NC Primary

Addresses

Primary practice location

263 3Rd Ave NW
Hickory, NC 28601-4911

Mailing address

263 3Rd Ave NW
Hickory, NC 28601-4911
Phone (828) 322-4941

Other identifiers 5

IdentifierTypeStateIssuer
10087OtherNCBLUE CROSS BLUE SHIELD NC
10087OtherNCMAGELLAN
2116300OtherNCMAMSI
6102372MedicaidNC
69876OtherNCMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
N C 2703NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Center Past Accepting new patients
Cornerstone Counseling Center PastSince Nov 1, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467540377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 3RD AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014911",
            "telephone_number": "828-322-4941",
            "fax_number": "828-322-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 3RD AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014911",
            "telephone_number": "828-322-4941",
            "fax_number": "828-322-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MIKE",
        "middle_name": "R",
        "credential": "MDIV, MA,, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "N C 2703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "10087",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "10087",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2116300",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102372",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "69876",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.