Active NPI
Stefan Bernard Lewis
- Counselor
- Cary, NC
National Provider Identifier
1518355452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 11322A
- Practice address
- 101 Ridge Hollow CT
Cary, NC 27513-4949 - Phone
- (919) 607-2054
- NPI assigned
- Dec 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11322A | NC | Primary |
Addresses
Primary practice location
101 Ridge Hollow CT
Cary, NC 27513-4949
Mailing address
101 Ridge Hollow CT
Cary, NC 27513-4949
Phone (919) 607-2054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 5, 2024 through Jan 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11322A | NC | MD | Counselor |
| 11322 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1518355452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIDGE HOLLOW CT",
"city": "CARY",
"state": "NC",
"postal_code": "275134949",
"telephone_number": "919-607-2054",
"fax_number": "919-377-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RIDGE HOLLOW CT",
"city": "CARY",
"state": "NC",
"postal_code": "275134949",
"telephone_number": "919-607-2054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "STEFAN",
"middle_name": "BERNARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-30",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "11322A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.