Stephanie Jan Durham, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2102577-SUPV Issued in OH

Practice address

6601 Centerville Business Pkwy Ste 310
Centerville, OH 45459-2697

Phone

(937) 739-6149

Fax

(937) 963-0961

NPI assigned

Jul 2, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in OH

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1689160707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 CENTERVILLE BUSINESS PKWY STE 310",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592697",
            "telephone_number": "937-739-6149",
            "fax_number": "937-963-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 CENTERVILLE BUSINESS PKWY STE 310",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592697",
            "telephone_number": "937-739-6149",
            "fax_number": "937-963-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "STEPHANIE",
        "middle_name": "JAN",
        "name_prefix": "Miss",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2102577-SUPV",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2102577-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Rae Dunaway, RD, LD, CLT
• Charissa Duncan, PHARMD
• April D Dunnington, DC
• Michael Patrick Duplain, DC
• Richard L. Durham, RPH
• Jon Durrani, DO
• Ear Nose and Throat Associates of Greater Dayton LLC
• Eazy IV, LLC
• Edgar Santillan MD LLC
• Daniel Eugene Edmonds, D.C.

• Professional Counselor in Centerville, OH
• Providers in Centerville, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.