Active NPI
Michaela Renee Stewart, MED
- Mental Health Counselor
- Abilene, TX
National Provider Identifier
1689212912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 78151
- Practice address
- 4150 Southwest Dr Ste 218
Abilene, TX 79606-2292 - Phone
- (325) 692-4048
- NPI assigned
- Dec 17, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 78151 | TX | Primary |
Addresses
Primary practice location
4150 Southwest Dr Ste 218
Abilene, TX 79606-2292
Mailing address
4150 Southwest Dr Ste 218
Abilene, TX 79606-2292
Phone (325) 692-4048
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78151 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1689212912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 SOUTHWEST DR STE 218",
"city": "ABILENE",
"state": "TX",
"postal_code": "796062292",
"telephone_number": "325-692-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 SOUTHWEST DR STE 218",
"city": "ABILENE",
"state": "TX",
"postal_code": "796062292",
"telephone_number": "325-692-4048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MICHAELA",
"middle_name": "RENEE",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "78151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.