Active NPI
Stephanie M Paige, ACSW
- Mental Health Counselor
- Ukiah, CA
National Provider Identifier
1710219506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 70880
- Practice address
- 631 S Orchard Ave
Ukiah, CA 95482-5011 - Phone
- (707) 472-2922
- NPI assigned
- Feb 4, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 70880 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | 70880 | CA | Primary |
Addresses
Primary practice location
631 S Orchard Ave
Ukiah, CA 95482-5011
Mailing address
PO Box 2077
Ukiah, CA 95482-2077
Phone (707) 462-7267
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70880 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1710219506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2077",
"city": "UKIAH",
"state": "CA",
"postal_code": "954822077",
"telephone_number": "707-462-7267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 S ORCHARD AVE",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825011",
"telephone_number": "707-472-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIGE",
"first_name": "STEPHANIE",
"middle_name": "M",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "70880",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "70880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.