Active NPI
Michael Pronio-Stevens, LCSW
- Counselor
- New York, NY
National Provider Identifier
1689103418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 096231
- Practice address
- 119 W 124TH St
New York, NY 10027-4920 - Phone
- (718) 260-2920
- NPI assigned
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 096231 | NY | Primary |
Addresses
Primary practice location
119 W 124TH St
New York, NY 10027-4920
Mailing address
33 Linden Ave
Mount Vernon, NY 10552-3106
Phone (914) 751-4639
Other practice location 1
33 Linden Ave
Mount Vernon, NY 10552-3106
Phone (347) 669-4471
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096231 | NY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1689103418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LINDEN AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105523106",
"telephone_number": "914-751-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W 124TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274920",
"telephone_number": "718-260-2920"
}
],
"practiceLocations": [
{
"address_1": "33 Linden Ave",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "NY",
"postal_code": "105523106",
"country_code": "US",
"telephone_number": "347-669-4471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRONIO-STEVENS",
"first_name": "MICHAEL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-06",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "096231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.