Stephanie Canseco

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

1124 El Dorado St
Crescent City, CA 95531-2111

Phone

(707) 464-0310

NPI assigned

Oct 9, 2026

Last updated

Oct 9, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1558266551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 HOWLAND HILL RD",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955319238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 EL DORADO ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312111",
            "telephone_number": "707-464-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANSECO",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cal-Ore Life Flight LLC (Cal-Ore Life Flight CCT Ground)
• Emily Dawn Caldwell, CCC-SLP
• Kevin John Caldwell, M.D.
• California Em-I Medical Services, a Medical Corporation
• Angela Marie Calleja
• Diane Cantrell
• Vincent Anthony Cappello, LCSW
• Annette Marie Carlsen, PA
• Shelagh Carrick, LM
• Dyan Lisabeth Carver, RN

• Counseling Psychologist in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.