Individual provider Active NPI

Sharon Stepanovsky, MS, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Rutland, VT
National Provider Identifier
1639627227
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000733 Issued in VT
Practice address
135 Granger St
Rutland, VT 05701-4405
Phone
(802) 747-9522
Fax
(802) 747-7699
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000733 VT Primary

Addresses

Primary practice location

135 Granger St
Rutland, VT 05701-4405

Mailing address

135 Granger St
Rutland, VT 05701-4405
Phone (802) 772-0700

Other identifiers 1

IdentifierTypeStateIssuer
1002799MedicaidVT

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000733VTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1639627227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GRANGER ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014405",
            "telephone_number": "802-772-0700",
            "fax_number": "802-771-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GRANGER ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014405",
            "telephone_number": "802-747-9522",
            "fax_number": "802-747-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANOVSKY",
        "first_name": "SHARON",
        "credential": "MS, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002799",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.