Active NPI
Stephanie Ann Stevens, LPC
- Professional Counselor
- Humble, TX
National Provider Identifier
1679566541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14694
- Practice address
- 6723 Maple Dr
Humble, TX 77338-1409 - Phone
- (832) 746-7529
- Fax
- (281) 540-0272
- NPI assigned
- Aug 25, 2005
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14694 | TX | Primary |
Addresses
Primary practice location
6723 Maple Dr
Humble, TX 77338-1409
Mailing address
6723 Maple Dr
Humble, TX 77338-1409
Phone (832) 746-7529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095952001 | Medicaid | TX |
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 |
|---|---|---|---|
| 14694 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- stephaniestevens@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1679566541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6723 MAPLE DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773381409",
"telephone_number": "832-746-7529",
"fax_number": "281-540-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6723 MAPLE DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773381409",
"telephone_number": "832-746-7529",
"fax_number": "281-540-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095952001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.