Douglas B Stephens, LICSW

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1542 Issued in NH

Practice address

15 Boulevard St
Hudson Falls, NY 12839-1001

Phone

(518) 747-2994

Fax

(518) 747-2996

NPI assigned

Aug 25, 2006

Last updated

Mar 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Douglas Stephens Ed D PLLC

  • Clinical Social Worker
  • Exeter, NH
  • NPI 1184017790
  Medicare reassignment NPD Authorized official
• Adirondack Samaritan Counseling Center, Inc

  • Adult Mental Health Clinic/Center
  • Hudson Falls, NY
  • NPI 1437213097
  Authorized official Same address or phone

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1558478339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BOULEVARD ST",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391001",
            "telephone_number": "518-747-2994",
            "fax_number": "518-747-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BOULEVARD ST",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391001",
            "telephone_number": "518-747-2994",
            "fax_number": "518-747-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R058282-1",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000344",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Simpson, RN
• Patricia Snell, LCSW-R
• Josh Spencer
• Robyn Lynn Spencer, LCSW-R
• Dulce Maria Stdenis
• Mya Stone, PHARMD
• Andrew M Straight
• Heather Yvonne Sullivan, RN
• Linda Marcotte Tatar, LCSW
• Catherine Olivia Thomson

• Marriage & Family Therapist in Hudson Falls, NY
• Providers in Hudson Falls, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.