Individual provider Active NPI

Everett Andrew Stenhouse, LPCC, ED.D.

  • Mental Health Counselor
  • Indio, CA
National Provider Identifier
1679159214
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC8816 Issued in CA
Practice address
81226 Avenida Colonias
Indio, CA 92203-3725
Phone
(949) 510-2586
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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 LPCC8816 CA Primary

Addresses

Primary practice location

81226 Avenida Colonias
Indio, CA 92203-3725

Mailing address

81226 Avenida Colonias
Indio, CA 92203-3725
Phone (949) 510-2586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240109002777 CA Practitioner - Mental Health Counselor 0446601926 Reassigns benefits to 2 organizations
I20241220000907 AZ Practitioner - Mental Health Counselor 0446601926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC8815CAMDMental Health Counselor
LPCC8816CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Solutions a Professional Medical Corporation CurrentSince Oct 4, 2023 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 20, 2024 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Feb 21, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819

360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1679159214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81226 AVENIDA COLONIAS",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922033725",
            "telephone_number": "949-510-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81226 AVENIDA COLONIAS",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922033725",
            "telephone_number": "949-510-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENHOUSE",
        "first_name": "EVERETT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "LPCC, ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-02-16",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC8816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.