Stephanie June Sooter

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2024015520 Issued in MO

Practice address

151 S Main St Ste B
Fredericktown, MO 63645-1451

Phone

(573) 222-0096

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Modern Mental Health

  • Community/Behavioral Health Agency
  • Fredericktown, MO
  • NPI 1215577945
  NPD

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1649014796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 DELMAR ST",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636451605",
            "telephone_number": "573-783-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S MAIN ST STE B",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636451451",
            "telephone_number": "573-222-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOTER",
        "first_name": "STEPHANIE",
        "middle_name": "JUNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2024015520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Elizabeth Schmitt, LPC
• Annette Kay Schwander, PTA
• Michelle Lea Sharp
• Angela Dawn Silvey, PLPC
• Nicole Sokolic
• Southeast Missouri Transportation Service, Inc.
• Lorna Dianne Stookey, M.D.
• Derek Wayne Stricklin, PLPC
• Brandi Nichole Tabor, APRN
• John Tedder, PHARM D.

• Counselor in Fredericktown, MO
• Providers in Fredericktown, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.