Individual provider Active NPI

Yeharar Stephen, LPC

  • Professional Counselor
  • Stamford, CT
National Provider Identifier
1497348494
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5189 Issued in CT
Practice address
292 Long Ridge Rd
Stamford, CT 06902-1627
Phone
(475) 221-4859
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5189 CT Primary

Addresses

Primary practice location

292 Long Ridge Rd
Stamford, CT 06902-1627

Mailing address

1135 Westchester Ave Unit 1504
West Harrison, NY 10604-3529
Phone (475) 221-4859

Other practice location 1

1000 Lafayette Blvd Ste 1105
Bridgeport, CT 06604-4725
Phone (203) 296-3345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209003338 CT Practitioner - Mental Health Counselor 2264875806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liberation Programs IncGroup PAC ID 8729413604, 11 clinicians

Practice addresses (Care Compare)

125 Main St
Stamford, CT 06901-2818
Phone (203) 391-7929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liberation Programs Inc CurrentSince Jan 1, 2024 Accepting new patients
Liberation Programs Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

339 West Ave
Bridgeport, CT 06604

125 Main St
Stamford, CT 06901
Phone (203) 391-7906

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1497348494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 WESTCHESTER AVE UNIT 1504",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106043529",
            "telephone_number": "475-221-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 LONG RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021627",
            "telephone_number": "475-221-4859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Lafayette Blvd Ste 1105",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066044725",
            "country_code": "US",
            "telephone_number": "203-296-3345",
            "fax_number": "203-413-5766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHEN",
        "first_name": "YEHARAR",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.