Active NPI
Stacy Lynn Corwin, LAC
- Addiction (Substance Use Disorder) Counselor
- Hutchinson, KS
National Provider Identifier
1720682537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1599
- Practice address
- 115 E 4TH Ave
Hutchinson, KS 67501-6913 - Phone
- (620) 665-7750
- Fax
- (620) 665-1402
- NPI assigned
- Nov 23, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1599 | KS | Primary |
Addresses
Primary practice location
115 E 4TH Ave
Hutchinson, KS 67501-6913
Mailing address
115 E 4TH Ave
Hutchinson, KS 67501-6913
Phone (620) 665-7750
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 |
|---|---|---|---|
| 1599 | KS | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1720682537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E 4TH AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675016913",
"telephone_number": "620-665-7750",
"fax_number": "620-665-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E 4TH AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675016913",
"telephone_number": "620-665-7750",
"fax_number": "620-665-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORWIN",
"first_name": "STACY",
"middle_name": "LYNN",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "1599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.