Individual provider Active NPI

Stephanie Lynn McLeod-Estevez, LCPC

  • Mental Health Counselor
  • South Portland, ME
National Provider Identifier
1609941475
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC Issued in ME
Practice address
813 Broadway
Art of Awareness
South Portland, ME 04106-2708
Phone
(207) 799-1331
Fax
(207) 799-1350
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC ME Primary

Addresses

Primary practice location

813 Broadway
Art of Awareness
South Portland, ME 04106-2708

Mailing address

813 Broadway
Art of Awareness
South Portland, ME 04106-2708
Phone (207) 799-1331

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

State licenses

LicenseStateTypeSpecialty
LCPCMEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Awareness, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1609941475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 BROADWAY",
            "address_2": "ART OF AWARENESS",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062708",
            "telephone_number": "207-799-1331",
            "fax_number": "207-799-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 BROADWAY",
            "address_2": "ART OF AWARENESS",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062708",
            "telephone_number": "207-799-1331",
            "fax_number": "207-799-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD-ESTEVEZ",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LCPC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.