Stephen Todd Gill, PHD DR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

#5197 Issued in NC

Practice address

1218 N Main St
Lillington, NC 27546-6845

Phone

(910) 893-6021

Fax

(910) 893-6051

NPI assigned

May 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Community Education and Programs

  • Early Intervention Provider Agency
  • Lillington, NC
  • NPI 1003086752

  Professional

  NPD (past)

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1508090812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 GUY CIR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035334",
            "telephone_number": "910-494-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 N MAIN ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466845",
            "telephone_number": "910-893-6021",
            "fax_number": "910-893-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "STEPHEN",
        "middle_name": "TODD",
        "credential": "PHD DR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "#5197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003086752",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siva Santosh Kumar Gandu, MD
• Rachel Gardner
• Peyton George
• Raafi Ghaffar
• Zulaikha Ghani, DO
• Avraham Ginsburg, DO
• David Kalman Gittelman, D.O.
• Aaron Bishop Glass, O.D.
• Grace Glass
• Victoria Elizabeth Glockzin

• All providers in Lillington, NC
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.