Stefanie Diane Banda, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

66372 Issued in TX

Practice address

2151 Abadeer TRL
San Antonio, TX 78253-6704

Phone

(210) 831-3383

NPI assigned

Jan 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stefanie Diane Lopez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Monarch Behavioral Health, PLLC

  • Clinical Child & Adolescent Psychologist
  • San Antonio, TX
  • NPI 1710510177

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1619413341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 ABADEER TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536704",
            "telephone_number": "210-831-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 ABADEER TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536704",
            "telephone_number": "210-831-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDA",
        "first_name": "STEFANIE",
        "middle_name": "DIANE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "66372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "LOPEZ",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabriela Banda
• Izaac Zeth Banda
• Jessie Kahlendo Banda, PHARM D
• Jonathan Ray Banda
• Kassandra Banda, PT, DPT
• Ghassan Salim Issa Bandak, MD
• Himabindu Bandaru, MD
• Fatma Banday
• Sujani Bandela, MD
• Bandera Dental

• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.