Individual provider Active NPI

Stephanie Lyn Trent, PHD LMHC LCAC

  • Mental Health Counselor
  • Bloomington, IN
National Provider Identifier
1689441750
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004456A Issued in IN
Practice address
5770 W Daffodil CT
Bloomington, IN 47403-8201
Phone
(765) 586-3168
NPI assigned
Dec 7, 2023
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001740A IN
Mental Health Counselor 101YM0800X E2404780 OH
Mental Health Counselor 101YM0800X 39004456A IN Primary

Addresses

Primary practice location

5770 W Daffodil CT
Bloomington, IN 47403-8201

Mailing address

5770 W Daffodil CT
Bloomington, IN 47403-8201
Phone (765) 586-3168

Other practice location 1

800 N High St
Columbus, OH 43215-1430
Phone (323) 205-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250702000472 IN Practitioner - Mental Health Counselor 5597278523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Indianapolis, IN 46204
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
87001740AINMDAddiction (Substance Use Disorder) Counselor
39004456AINMDMental Health Counselor
E2404780OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Jun 25, 2025 Accepting new patients

Locations

333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1689441750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 W DAFFODIL CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038201",
            "telephone_number": "765-586-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 W DAFFODIL CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038201",
            "telephone_number": "765-586-3168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432151430",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRENT",
        "first_name": "STEPHANIE",
        "middle_name": "LYN",
        "credential": "PHD LMHC LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001740A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E2404780",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004456A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.