Stephanie McLain Wasserman, LPC, MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0000003249 Issued in TN

Practice address

10411 Kates Path LN
Knoxville, TN 37932-1574

Phone

(865) 705-4020

NPI assigned

Sep 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1508471798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 KATES PATH LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321574",
            "telephone_number": "865-705-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 KATES PATH LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321574",
            "telephone_number": "865-705-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2353 Maynardville Hwy",
            "address_purpose": "LOCATION",
            "city": "Maynardville",
            "state": "TN",
            "postal_code": "378073026",
            "country_code": "US",
            "telephone_number": "866-284-2004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "STEPHANIE",
        "middle_name": "MCLAIN",
        "name_prefix": "Mrs.",
        "credential": "LPC, MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000003249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "takingchances865@yahoo.com",
            "affiliation": "N",
            "address_1": "2353 Maynardville Hwy",
            "city": "Maynardville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378073026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hali Alexandra Washam
• John Elliott Washer, M.D.
• Laura Ann Washington
• Tavicia Washington
• Felicia S Wassenaar, NP
• Sarah Elizabeth Waterman, APRN
• Jenna Waters, MS, RD, LDN
• Juniper Waters
• Nyeesha Renelle Waters, PMHNP-BC
• Meghan Lou Waterston, PHARMD

• Professional Counselor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.