Organization Active NPI

Stephanie Thurston, LCSW, a Professional Psychotherapy Corp

Doing business as The Therapy Place

  • Clinical Social Worker
  • Ventura, CA
National Provider Identifier
1588098370
Registry record updated Dec 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22417 Issued in CA
Legal business name
STEPHANIE THURSTON, LCSW, A PROFESSIONAL PSYCHOTHERAPY CORP
Doing business as
The Therapy Place
Practice address
107 Figueroa St
Unit a
Ventura, CA 93001-2756
Phone
(805) 444-8787
NPI assigned
Aug 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2023

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

Authorized official

Name
Ms. Stephanie Thurston, LCSWNPI 1750648523
Title
Sole Member
Phone
(805) 444-8787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 22417 CA Primary

Addresses

Primary practice location

107 Figueroa St
Unit a
Ventura, CA 93001-2756

Mailing address

PO Box 1648
Ventura, CA 93002-1648
Phone (805) 444-8787

Other names 1

  • The Therapy Place Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231211003284 CA Part B Supplier - Clinic/Group Practice 2466801881 Receives reassigned benefits from 1 practitioner
Practice locations: Ventura, CA

National Provider Directory

National Provider Directory

Locations

107 Figueroa St
Unit 1
Ventura, CA 93001
Phone (805) 444-8787

107 Figueroa St
Unit A
Ventura, CA 93001
Phone (805) 444-8787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702166400000",
    "number": "1588098370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930021648",
            "telephone_number": "805-444-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FIGUEROA ST",
            "address_2": "UNIT A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012756",
            "telephone_number": "805-444-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE THURSTON, LCSW, A PROFESSIONAL PSYCHOTHERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A",
        "authorized_official_last_name": "THURSTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "805-444-8787",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Therapy Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.