Organization Active NPI

Michael Stephens PHD LPC Counseling PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Huntingdon, PA
National Provider Identifier
1609647858
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MICHAEL STEPHENS PHD LPC COUNSELING PC
Practice address
12320 Route 30 Unit 11
North Huntingdon, PA 15642-2590
Phone
(412) 877-8011
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Michael Howard Stephens, PHD, LPCNPI 1619415452
Title
Ceo
Phone
(412) 877-8011

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

12320 Route 30 Unit 11
North Huntingdon, PA 15642-2590

Mailing address

12320 Route 30 Ste 11
North Huntingdon, PA 15642-2590
Phone (412) 877-8011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240916000412 PA Part B Supplier - Clinic/Group Practice 4385084920 Receives reassigned benefits from 1 practitioner
Practice locations: North Huntingdon, PA

National Provider Directory

National Provider Directory

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": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1609647858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 ROUTE 30 STE 11",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422590",
            "telephone_number": "412-877-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 ROUTE 30 UNIT 11",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422590",
            "telephone_number": "412-877-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL STEPHENS PHD LPC COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-877-8011",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.