Individual provider Active NPI

Stephanie Rachel Kane, M.A.

  • Professional Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1568531994
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PMH 1195 Issued in FL
Practice address
941 NE 19TH Ave Ste 205
Ft Lauderdale, FL 33304-3070
Phone
(954) 504-7756
NPI assigned
Nov 7, 2006
Last updated
Dec 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC 140 CA
Professional Counselor 101YP2500X PMH 1195 FL Primary
Professional Counselor 101YP2500X 37PC000494500 NJ
School Counselor 101YS0200X 0000004681 NV
School Counselor 101YS0200X 040086254 CA
School Counselor 101YS0200X 778871 NJ
School Counselor 101YS0200X 474472101 NY
School Counselor 101YS0200X 1239796 FL
Marriage & Family Therapist 106H00000X 37FI00168300 NJ
Marriage & Family Therapist 106H00000X 49989 CA
Marriage & Family Therapist 106H00000X MT 2912 FL

Addresses

Primary practice location

941 NE 19TH Ave Ste 205
Ft Lauderdale, FL 33304-3070

Mailing address

941 NE 19TH Ave Ste 205
Ft Lauderdale, FL 33304-3070
Phone (954) 504-7756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPCC 140CAMDProfessional Counselor
PMH 1195FLMDProfessional Counselor
37PC000494500NJMDProfessional Counselor
040086254CAMDSchool Counselor
1239796FLMDSchool Counselor
778871NJMDSchool Counselor
0000004681NVMDSchool Counselor
474472101NYMDSchool Counselor
49989CAMDMarriage & Family Therapist
MT 2912FLMDMarriage & Family Therapist
37FI00168300NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1568531994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 NE 19TH AVE STE 205",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043070",
            "telephone_number": "954-504-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 NE 19TH AVE STE 205",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043070",
            "telephone_number": "954-504-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "STEPHANIE",
        "middle_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC 140",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "PMH 1195",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC000494500",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NV",
            "license": "0000004681",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "040086254",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NJ",
            "license": "778871",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NY",
            "license": "474472101",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "FL",
            "license": "1239796",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00168300",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49989",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 2912",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.