Kellenne Z Stevens, BS, BA, BS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1430 Olive St
Saint Louis, MO 63103-2303

Phone

(314) 570-7866

NPI assigned

Oct 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Bachelor of Science

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1619253374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 SOUTHRIDGE PINES DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282307",
            "telephone_number": "314-239-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 OLIVE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631032303",
            "telephone_number": "314-570-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KELLENNE",
        "middle_name": "Z",
        "name_prefix": "Ms.",
        "credential": "BS, BA, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stevens Health Solutions LLC
• Beth C. Stevens, OTR/L
• Brynne Elaine Stevens, AUD
• Jennifer Stevens
• Julia Stevens, LCSW
• Megan Elise Stevens, NP
• Melissa Stevens
• Nicole Fadler Stevens, CRNA
• Tracey Wagner Stevens, MD
• Emily Milford Stevenson, M.D.

• All providers in Saint Louis, MO
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.