Active NPI
Helene F. Stoller
- Clinical Psychologist
- Bluffton, SC
National Provider Identifier
1629074604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1017
- Practice address
- 23 Plantation Park Rd
BLDG 400
Bluffton, SC 29910-9009 - Phone
- (843) 290-6828
- Fax
- (843) 757-3993
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1017 | SC | Primary |
Addresses
Primary practice location
23 Plantation Park Rd
BLDG 400
Bluffton, SC 29910-9009
Mailing address
2 Little Johns Retreat
Bluffton, SC 29910-5705
Phone (843) 290-6828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3395 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helene Stoller, Psy.D., L.P. | Clinical | Past | Accepting new patients |
| Patricia Verby Psychological Services Inc | Past | Accepting new patients | |
| Bushman Psychological Services LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Clinical Psychologist
- Okatie, SC
- NPI 1760334411
-
- Mental Health Counselor
- Burnsville, MN
- NPI 1861580607
-
- Psychologist
- Burnsville, MN
- NPI 1245312818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1629074604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LITTLE JOHNS RETREAT",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299105705",
"telephone_number": "843-290-6828",
"fax_number": "843-757-6289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 PLANTATION PARK RD",
"address_2": "BLDG 400",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299109009",
"telephone_number": "843-290-6828",
"fax_number": "843-757-3993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLLER",
"first_name": "HELENE",
"middle_name": "F.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.