Kimberly Stephens, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

858 Issued in AK

Practice address

5730 E Pilgrim CT
Suite B
Wasilla, AK 99654-7824

Phone

(907) 982-4040

Fax

(907) 373-3389

NPI assigned

Apr 3, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1689092991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 E WOODVIEW WAY",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458956",
            "telephone_number": "907-982-4040",
            "fax_number": "907-373-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 E PILGRIM CT",
            "address_2": "SUITE B",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547824",
            "telephone_number": "907-982-4040",
            "fax_number": "907-373-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "KIMBERLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "3182",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsty Stein
• John P Stella, M.D.
• Heidi Ann Stelzer
• William S Stemmons, NPFCA-MBA
• Stephanie Hamilton
• Prissy Ann Stephens
• Terelle Nicole Sterling, PMHNP
• Alisa Stevens, LPCS
• Brandy Stevens, LPC-S, CDC 1
• Melissa A Stevens, LMT

• Professional Counselor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.