Individual provider Active NPI

Steven John Drury

  • Mental Health Counselor
  • Redding, CA
National Provider Identifier
1629531041
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.014372 Issued in IL
Practice address
748 N Market St
Redding, CA 96003-3606
Phone
(530) 338-0087
NPI assigned
Apr 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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 178.014372 IL Primary

Addresses

Primary practice location

748 N Market St
Redding, CA 96003-3606

Mailing address

PO Box 492722
Redding, CA 96049-2722
Phone (530) 276-8080

Other practice location 1

2865 Churn Creek Rd
Redding, CA 96002-1117
Phone (530) 338-0087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129001813 CA Practitioner - Mental Health Counselor 3779936588 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.014372ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1578052379 Mental Health Past Accepting new patients
Dunamis Center Incorporated Mental Health PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1629531041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492722",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960492722",
            "telephone_number": "530-276-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 N MARKET ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033606",
            "telephone_number": "530-338-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2865 Churn Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960021117",
            "country_code": "US",
            "telephone_number": "530-338-0087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRURY",
        "first_name": "STEVEN",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.014372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.