Active NPI
Shiloh Stephens, LPC
- Counselor
- Mountain Home, ID
National Provider Identifier
1659783413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-5554
- Practice address
- 140 E 2ND N
Mountain Home, ID 83647-2711 - Phone
- (208) 587-8095
- Fax
- (208) 587-8025
- NPI assigned
- May 28, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-5554 | ID | Primary |
Addresses
Primary practice location
140 E 2ND N
Mountain Home, ID 83647-2711
Mailing address
140 E 2ND N
Mountain Home, ID 83647-2711
Phone (208) 587-8095
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-5554 | ID | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspiring Change, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Mountain Home, ID
- NPI 1760867592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1659783413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 E 2ND N",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "836472711",
"telephone_number": "208-587-8095",
"fax_number": "208-587-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E 2ND N",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "836472711",
"telephone_number": "208-587-8095",
"fax_number": "208-587-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "SHILOH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-5554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.