Carolyn M Stephens, M.A., M.S.W.
Individual provider Active NPI Professional Counselor · Pinehurst, TX
NPI 1710043690 · NPPES record last updated Jul 6, 2023
Key facts
- NPI
- 1710043690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5909 (TX)
- Practice address
- 37702 Edgewater Dr
Pinehurst, TX 77362-1918 - Phone
- (281) 333-3393
- Fax
- (281) 333-0402
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5909 | TX | MD | Professional Counselor |
| 12471 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12471 | TX | |
| Professional Counselor | 101YP2500X | 5909 | TX | Yes |
Addresses
Primary practice location
37702 Edgewater Dr
Pinehurst, TX 77362-1918
Mailing address
PO Box 955
Pinehurst, TX 77362-0955
Phone (281) 333-3933
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095503101 | Medicaid | TX |
Other providers in Pinehurst, TX
- Yasmine Rivera
- Kristin Maria Rohlfs Labbie
- Camille Shea
- Doug Simper
- Lindsey Smith
- Ryan Stewart
- Jaffar Mahmood Syed
- Today'S Vision-Tomball, P.a.
- Walgreen Co
- Catherine Mwaniki Watts
All providers in Pinehurst, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. 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.