Stacey Hepler Inman, M.A., L.C.A.S, C.C.S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

514 Issued in NC

Practice address

4035 University Pkwy
Winston Salem, NC 27106-3276

Phone

(336) 561-1268

NPI assigned

Mar 9, 2007

Last updated

Jun 3, 2011By the provider in NPPES

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Institute for Family Centered Services

  • Early Intervention Provider Agency
  • Winston Salem, NC
  • NPI 1003236050
  Authorized official Same address or phone

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1649301573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 UNIVERSITY PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063276",
            "telephone_number": "336-561-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 UNIVERSITY PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063276",
            "telephone_number": "336-561-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INMAN",
        "first_name": "STACEY",
        "middle_name": "HEPLER",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.C.A.S, C.C.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112171",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6110522",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenae Ingram
• Jordan Scott Ingram, CRNA
• Khaliyah Beverly Shanette Ingram
• Tiffany Monique Ingram
• Joseph Lucas Inman, M.D.
• Inner Healing and Peace PLLC
• Collin Innis, MD
• Innovation Healthcare Solution, PLLC
• Innovative Health & Rehab Consultants
• Innovative Pathways, Inc

• Professional Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.