Individual provider Active NPI

Stephanie Compton-Bain, LPC

  • Professional Counselor
  • Blue Bell, PA
National Provider Identifier
1689240111
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009761 Issued in PA
Practice address
1060 Boxwood LN
Blue Bell, PA 19422-1506
Phone
(610) 717-6245
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC009761 PA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC009761 PA Primary

Addresses

Primary practice location

1060 Boxwood LN
Blue Bell, PA 19422-1506

Mailing address

1060 Boxwood LN
Blue Bell, PA 19422-1506
Phone (610) 717-6245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240102001099 PA Practitioner - Mental Health Counselor 8628428752 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC009761PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Compton Counseling, LLC Mental Health CurrentSince Jun 6, 2021 Accepting new patients

Locations

1320 Hausman Rd
Ste 100
Allentown, PA 18104
Phone (484) 246-8451

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1689240111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 BOXWOOD LN",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221506",
            "telephone_number": "610-717-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 BOXWOOD LN",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221506",
            "telephone_number": "610-717-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON-BAIN",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009761",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.