Kippi Lilly Stevenson, MS, CSAC, TCM
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ramseur, NC
NPI 1477057693 · NPPES record last updated Mar 21, 2018
Key facts
- NPI
- 1477057693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 103 S Brady St
Ramseur, NC 27316-9538 - Phone
- (336) 824-1735
- NPI assigned
- Mar 21, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
103 S Brady St
Ramseur, NC 27316-9538
Mailing address
103 S Brady St
Ramseur, NC 27316-9538
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-4857945 | Other | SUBSTANCE ABUSE | |
| 82-4857945 | Other | CASE MANAGEMENT |
Other providers in Ramseur, NC
- Reconnections Speech, Swallowing, and Neurorehabilitation, PLLC
- Jagjit S Sandhu
- Thyllis Gardenia Smith
- Speech and Swallowing Specialist
- Steps for Change Behavioral Health Care and Counseling Center
- Therapeutic Alternatives Inc
- Therapeutic Alternatives, Inc.
- Therapeutic Alternatives, Inc.
- Therapeutic Alternatives, Inc.
- Therapeutic Alternatives, Inc.
All providers in Ramseur, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2018. 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.