Katherine Melissa Stam, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

106676 Issued in TX

Practice address

1216 Duncan Rd
Copperas Cove, TX 76522-7409

Phone

(254) 577-4880

NPI assigned

Mar 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Angels on the Horizon Therapeutic Center, LLC

  • Counselor
  • Killeen, TX
  • NPI 1780067090
  NPD
• Travail Adaptations

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Copperas Cove, TX
  • NPI 1679041339
  NPD (past)

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1487301404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 SIKES DR UNIT B",
            "city": "KEMPNER",
            "state": "TX",
            "postal_code": "765396928",
            "telephone_number": "919-720-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 DUNCAN RD",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765227409",
            "telephone_number": "254-577-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAM",
        "first_name": "KATHERINE",
        "middle_name": "MELISSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106676",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "106676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Hills Chiropractic
• Brooke Spann
• Kristin Spencer
• Linda Spencer
• Richard Don Spires, LPC
• Sterling Health Supply LLC
• Heather Stevens, LMT,CES
• Jami Stobaugh, LPC
• Danell Stock
• John Burton Stockton, D.C.

• All providers in Copperas Cove, TX
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.