Stephen T Adika
Individual provider Active NPI Mental Health Counselor · Cordova, TN
NPI 1699412403 · NPPES record last updated May 14, 2022
Key facts
- NPI
- 1699412403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 5822 (TN)
- Practice address
- 1161 Sara CV Apt 4
Cordova, TN 38016-5806 - Phone
- (732) 640-7812
- NPI assigned
- May 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5822 | TN | Yes |
Addresses
Primary practice location
1161 Sara CV Apt 4
Cordova, TN 38016-5806
Mailing address
1161 Sara CV Apt 4
Cordova, TN 38016-5806
Phone (732) 640-7812
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- Jessica Marie Adcock
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- Jennifer Adelman
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All providers in Cordova, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.